Signalling of blood pressure changes is partly the result of carotid sinus function and activity within the afferent glossopharyngeal and vagus nerves. Carotid stenosis is common and often affects the carotid bulb where the arterial baroreceptors are situated. However, little attention has been paid to the homeostatic effects of stenosis at this point. Akinola et al in this issue (pp428–32)1 compare autonomic reflexes in a group of hypertensive patients with transient …