Abstract-The baroreflex that acts to blunt blood pressure (BP) variations through opposite variations in heart rate should limit the BP increase produced by an emotional challenge. However, relations between baroreflex sensitivity and BP reactivity induced by a psychological stress in a large group of adults have never been firmly established. In 280 healthy men, rest (10 minutes) and stress (5 minutes) BP and heart rate were recorded beat to beat by a blood pressure monitor. The mental stress was elicited by a well-standardized computerized version of a word color conflict stress test (Stroop Color Test). Rest and stress baroreflex sensitivity was assessed by the cross-spectral analysis of BP and heart rate and by the sequence method. The stress-induced increase in systolic BP (22.4Ϯ0.1 mm Hg) was not correlated with resting baroreflex sensitivity but was slightly correlated (rϭ0.2, PϽ0.001) with BP variability assessed either by standard deviation or by mid-frequency band spectral power. Our results suggested that a centrally mediated sympathetic stimulation overcame cardiac autonomic regulation and emphasized the role of the sympathetic vasoconstriction in the pressure response at the onset of the stressing stimulation. During the sustained sympathoexcitatory phase, the cardiac baroreflex blunts BP variations but at a lower sensitivity. Key Words: baroreflex Ⅲ blood pressure Ⅲ men Ⅲ spectral analysis Ⅲ stress, mental B lood pressure (BP) reactivity to stress was reported to be associated with an unfavorable cardiovascular risk profile in men 1 and to be predictive of future hypertension 2 and carotid atherosclerosis in women. 3 Furthermore, a depressed baroreflex sensitivity (BRS) was significantly associated with bad cardiovascular prognosis. 4 The baroreflex, which acts to blunt BP variations through opposite variations in heart rate (HR), should limit BP increase to an emotional challenge. Parati et al 5 reported that BP variability in humans after atropine administration was decreased at rest but was increased during a physical challenge. Thus, BP reactivity to challenge may not be related to BP regulation in resting conditions. However, to our knowledge, no study has investigated relations between resting cardiac BRS and BP response during a sympathetic stimulation induced by a psychological stress in a large group of adults. Therefore, the present study aimed to clarify relations that could exist between sympathetically induced increases in BP and HR and indices of cardiac autonomic control, including BRS, in a large sample of normotensive men. Furthermore, because BRS variation during stress is controversial, 6 -8 the second purpose of the present study was to investigate BRS variations during a well-standardized mental stress. This study was carried out by using techniques developed in our laboratory. The sympathetic stimulation was elicited by use of a computerized version of the Stroop word color conflict stress test (CWT), which has been reported to provoke a steady and reproducible increase in HR ...