SUMMARYThe dynamic interaction of simultaneously changing heart period and single vagal stimuli on atrioventricular conduction (AV interval) was quantified by subtracting the vagally induced responses of the paced heart preparation from those of the unpaced heart preparation. This difference was significantly greater (/» < 0.05) than the AV responses to changes in heart period (AAA) alone without vagal stimulation (using the identical AAA recorded from the unpaced heart in the same preparation, but with a crushed sinoatrial node). That is, for a given increase in AA interval, the AV conduction time was considerably less when the change in AA was associated with increased vagal activity than in the absence of any vagal activity. Data from some dogs in which a complete AV block was produced for both paced and unpaced hearts suggested that one mechanism of the paradoxical response was located in AV nodal tissue. Data from other dogs, in which two surface atrial recording sites were used, indicated that shifts of pacemaker site and atrial activation patterns also are an important mechanism of the paradoxical response. The relative contribution of these two mechanisms is not fixed, but can vary considerably from animal to animal.IT HAS BEEN SHOWN by us previously that a single stimulus applied to the vagosympathetic trunk of an unpaced dog heart preparation can lead to changes of atrioventricular (AV) conduction time that are extremely complex, with several different mechanisms contributing to the resultant response.1 Thus, a generalized increase in vagal activity at the sinoatrial (SA) and AV nodes results in two oppositely directed effects on AV conduction time (the AV interval): (1) the acetylcholine (ACh) released will prolong the AV interval via a direct effect on the AV node, and (2) it will indirectly decrease the AV interval by increasing heart period (AA interval), primarily an AV nodal effect.2 I wished here to define quantitatively the interaction between these two responses. The specific question asked was: Do the two independent effects on AV conduction combine as a simple sum when applied simultaneously, or is there a more complex, nonlinear interaction that produces the resultant response? The second alternative was found to prevail in almost all animals.The basic protocol used an open-chest, anesthetized dog and consisted of noting the AV conduction responses to the following sequence of experiments: (1) single vagal stimulus bursts delivered at different times throughout the cardiac cycle in the spontaneously beating heart prepara-