SUMMARY The purpose of this review is to focus on alterations in vascular muscle membrane potentials (E m ), ionic permeabilities, and ionic transport systems which may either contribute to or be a consequence of the hypertensive state. Three models of hypertension are discussed: 1) deoxycorticosterone-salt (DOCA-salt)-induced hypertension; 2) low-renin (presumably volume expanded) renal hypertension (LRRH); and 3) the spontaneously hypertensive rat (SHR) of the Okamoto-Aoki KyotoWistar strain and its normotensive genetic control (WKY). The importance of studying all possible mechanisms of increased contraction in vascular smooth muscle is stressed. (Hypertension 5: 404-408, 1983) KEY WORDS • DOCA-salt hypertension • low-renin renal hypertension • spontaneously hypertensive rat • vascular smooth muscle • ionic permeability transport systems • blood pressure regulation • membrane potential A LTHOUGH neural and humoral factors influence both central and peripheral sites to regulate arterial pressure (Brody, 1 Abboud 2 ), the final common pathway for the control of vascular reactivity, and ultimately peripheral vascular resistance, lies at the level of the vascular smooth muscle cell. Thus, knowledge of the membrane processes responsible for vascular muscle cell activation is crucial in understanding the complete scope of blood pressure regulation. Furthermore, it is important to recognize the differences found in different blood vessels (Hermsmeyer,(3)(4) ). For valid conclusions to be drawn, the same vessel should be compared in hypertensive and normotensive animals. Mechanisms worked out in a particular blood vessel can be rigorously applied only to that particular vessel, unless others of interest have also been vigorously investigated. For a comprehensive theory of altered vascular muscle membrane function, the same measurements should be carried out on each vessel of interest. As data from different blood vessels are only available for some of the alterations found, it is difficult to draw more than qualified conclusions about the generality of differences.This overview will encompass the following concepts regarding the vascular muscle cell membrane and its control over force development in the hypertensive vs normotensive state: differences between in vivo and in vitro membrane potential (E m ), including the effects of an intact sympathetic innervation; altered ionic permeabilities in hypertensive vascular smooth muscle and the concomitant effect on vascular reactivity; and alterations in energy-dependent electrogenic ion transport as a function of humoral factors, innervation, or intrinsic muscle properties in vascular muscle cells from animals with hypertension of three different origins.