Stretching the atria in anesthetized dogs produces reflex changes in heart rate, and in cardiac anTrenal sympathetic nerve activity. Anemic decerebration, cord transection at C4-C5, and severance of vagal or sympathetic cardiac nerves was done to identify the pathways and centers essential for these reflexes. Stretching the right atrium produced an acceleration of the heart and a definite increase in sympathetic nerve activity. Left atrial-stretch caused biphasic responses: an initial sympathetic nerve inhibition and slower heartbeat followed by sympathetic excitation and heart acceleration. The afferents responsible were carried mainly by the vagi; efferent neural control of the heart was mostly sympathetic. Since Bainbridge first discovered the phenomenon in 1915 (1), stretching the atria has been known to evoke reflex changes in heart rate, although reports of which reflex reactions are actually involved have been contradictory. In the last decade, cardiac reflexes have again attracted the attention of many physiologists and clinicians (2-5). Linden and his associates, using anesthetized dogs found that both left and right atrial stretch evoked acceleration of the heart, and that this acceleration is due solely to increased activity of cardiac sympathetic nerves (2). They also showed that the afferent pathways that evoke these reflexes are in the vagi, as originally stated by Bainbridge. Other investigators have reported that the heart rate is reduced by stretch of the left atrium (see refs. 3 and 6). It was also found that cardiac sympathetic nerves contained afferent tracts that could evoke reflex responses when the atria were stretched and it was claimed that the cardiac acceleration produced by stretching the atria was mainly mediated by sympathetic nerves and spinal reflex action (7). In a previous study (8), in which balloons were inserted and then inflated in the atria to cause stretching or in which sensitive areas were directly stretched, we found that stretching the right atrium produced only an acceleration of the heart and an increase in cardiac sympathetic nerve discharges. Stretching the left atrium, on the other hand, produced an early deceleration followed by a longer-lasting cardiac acceleration concurrent with a decrease and then an increase in cardiac sympathetic activity. Stretching the atria produced similar changes in activity of other sympathetic nerve trunks, such as the renal 2177 nerves. It was also found that somatosympathetic reflexes evoked by various somatic afferent nerves were affected by atrial stretch (8).Although there have been many morphological and physiological studies of atrial receptors and their afferent nerves (3, 9), the reflexes they evoke and the nerve centers involved have not been fully determined. The objective of the present study was to identify the centers, as well as the afferent and efferent pathways that are involved in reflex responses originating from the atria, and to analyze the individual roles of each. METHODS Twenty-four dogs of either sex ...