The amplitude of low-frequency (LF) oscillations of heart rate (HR) usually reflects the magnitude of sympathetic activity, but during some conditions, e.g., physical exercise, high sympathetic activity results in a paradoxical decrease of LF oscillations of HR. We tested the hypothesis that this phenomenon may result from a feedback inhibition of sympathetic outflow caused by circulating norepinephrine (NE). A physiological dose of NE (100 ng ⅐ kg Ϫ1 ⅐ min Ϫ1 ) was infused into eight healthy subjects, and infusion was continued after ␣-adrenergic blockade [with phentolamine (Phe)]. Muscle sympathetic nervous activity (MSNA) from the peroneal nerve, LF (0.04 -0.15 Hz) and high frequency (HF; 0.15-0.40 Hz) spectral components of HR variability, and systolic blood pressure variability were analyzed at baseline, during NE infusion, and during NE infusion after Phe administration. The NE infusion increased the mean blood pressure and decreased the average HR (P Ͻ 0.01 for both). MSNA (10 Ϯ 2 vs. 2 Ϯ 1 bursts/min, P Ͻ 0.01), LF oscillations of HR (43 Ϯ 13 vs. 35 Ϯ 13 normalized units, P Ͻ 0.05), and systolic blood pressure (3.1 Ϯ 2.3 vs. 2.0 Ϯ 1.1 mmHg 2 , P Ͻ 0.05) decreased significantly during the NE infusion. During the NE infusion after PHE, average HR and mean blood pressure returned to baseline levels. However, MSNA (4 Ϯ 2 bursts/ min), LF power of HR (33 Ϯ 9 normalized units), and systolic blood pressure variability (1.7 Ϯ 1.1 mmHg 2 ) remained significantly (P Ͻ 0.05 for all) below baseline values. Baroreflex gain did not change significantly during the interventions. Elevated levels of circulating NE cause a feedback inhibition on sympathetic outflow in healthy subjects. These inhibitory effects do not seem to be mediated by pressor effects on the baroreflex loop but perhaps by a presynaptic autoregulatory feedback mechanism or some other mechanism that is not prevented by a nonselective ␣-adrenergic blockade.heart rate dynamics; catecholamines; blood pressure oscillation LOW-FREQUENCY (LF) oscillations of heart rate (HR) have been proposed to be under the control of sympathetic and vagal outflow. The normalized LF component of HR variability increases during most laboratory interventions that result in increased sympathetic outflow, including passive head-up tilt, moderate exercise, and nitroprusside infusion (15-18). Paradoxically, some physiological and pathological conditions known to increase sympathetic outflow have involved a marked reduction in the LF power spectral component and the LF-to high frequency (HF) ratio, for example, heavy physical exercise, passive head-up tilting preceding syncope, and severe heart failure (9, 31, 33).The physiological background of the decreased LF spectra of R-R intervals during increased sympathetic outflow has not been fully elucidated. Resetting of baroreflex circulatory regulation has been proposed as one possible reason. Other speculated reasons are saturation of the LF oscillatory system during high sympathetic activity or a central effect of neurohumoral excit...