Brezenoff, H.E., and W.M. Coram: The role of brain acetylcholine in cardiovascular regulation and hypertension: A minireview and therapeutic implications. Drug Dev. Res. 2251Res. -258. 1982 Acetylcholine in the central nervous system exerts a significant influence on cardiovascular parametzrs and appears to be involved in some aspects of hypertension. Stimulation of central muscarinic receptors with direct-acting cholinomimetics or with acetylcholinesterase inhibitors evokes a rise in blood pressure in unanesthetized cats, dogs, rats, and humans. Anesthetics may significantly modify this response. Concomitant with the pressor response is a potentiation of reflex bradycardia, inhibition of reflex tachycardia, and enhancement of the pressor reflex to carotid artery occlusion. Administration of atropine or intracerebroventricular injection of hemicholiniurn-3 reduces blood pressure in spontaneously hypertensive rats (SHR) but not in normotensive rats. Preliminary results are presented showing that systemic or central injection of N-(4-diethyl-2-butynyl)-succinimide, a muscarinic receptor antagonist specific for central receptors, also reduces blood pressure in SHR but not in normotensive animals.