The study was designed to observe the effects of long term treatment with candesartan cilexetil (candesartan) on blood pressure (BP), blood pressure variability (BPV), baroreflex sensitivity (BRS) and end organ damage (EOD) in sinoaortic denervated (SAD) rats. Candesartan was mixed in rat chow at an estimated dose of 3 mg/(kg·day). After 12 weeks of drug administration, rats were instrumented to determine BP, BPV and BRS in conscious state. Organ damage was estimated by observation of morphologic changes. When compared with sham operated rats, SAD rats exhibited increased BPV, decreased BRS, and normal BP and plasma angiotensin Ⅱ level. Left ventricular and aortic hypertrophies and renal lesion were found in SAD rats. Candesartan significantly decreased BP and BPV, ameliorated impaired BRS, increased plasma angiotensin Ⅱ level and obviously diminished the EOD in SAD rats. Multiple regression analysis shows that decrease in left ventricular hypertrophy was mainly related to decrease in systolic BPV. Decrease in aortic hypertrophy was mainly determined by increase in BRS and decrease in systolic BP. Amelioration in renal lesion was predicted by increase in BRS and decrease in systolic BPV. BRS was the most important determinant for renal lesion and aortic hypertrophy in SAD rats. In addition, plasma angiotensin Ⅱ level was higher in candesartan treated rats. In conclusion, long term treatment with candesartan prevented SAD induced organ damage. Restoration of arterial baroreflex function, decrease in BPV, and blockade of activated renin angiotensin system may contribute to the organ protective action of candesartan in SAD rats. The study was designed to observe the effects of long term treatment with candesartan cilexetil (candesartan) on blood pressure (BP), blood pressure variability (BPV), baroreflex sensitivity (BRS) and end organ damage (EOD) in sinoaortic denervated rats. Candesartan was mixed in rat chow at an estimated dose of 3 mg / (kg · day). After 12 weeks of drug administration, rats were instrumented to determine BP, BPV and BRS in conscious state. Organ damage was estimated by observation of morphologic changes. When compared with sham operated rats, SAD rats showed increased BPV, decreased BRS, and normal BP and plasma angiotensin Ⅱ level. Left ventricular and aortic hypertrophies and renal lesions were found in SAD rats. Candesartan significantly decreased BP and BPV, ameliorated impaired BRS, increased plasma angiotensin II level and obviously diminished the EOD in SAD rats. Multiple regression analysis shows that decrease in left ventricular hypertrophy was mainly related to de crease in systolic BPV. Decrease in aortic hypertrophy was mainly determined by increase in BRS and decrease in systolic BP. Amelioration in renal lesion was predicted by increase in BRS and decrease in systolic BPV. BRS was the most important determinant for renal lesion and aortic hypertrophy In addition, long term treatment with candesartan prevented SAD induced organ damage. Restoration of arterial baroreflex function, decrease in BPV, and blockade of activated renin angiotensin system may contribute to the organ protective action of candesartan in SAD rats.