A system for providing baroreflex stimulation, comprising: a baroreflex stimulator, including: a pulse generator operable to generate a stimulation signal to provide intermittent baroreflex stimulation for a baroreflex therapy, wherein the baroreflex therapy includes the intermittent baroreflex stimulation such that the baroreflex therapy includes times with baroreflex stimulation and times without baroreflex stimulation; and a modulator operable to adjust the stimulation signal; a cardiovascular parameter monitor operable to monitor at least one cardiovascular parameter during the baroreflex therapy and provide a first signal indicative of the cardiovascular parameter during the times of the baroreflex therapy with baroreflex stimulation and a second signal indicative of the cardiovascular parameter during the times of the baroreflex therapy without the baroreflex stimulation; and a comparator operable to provide a detected change for the cardiovascular parameter based on the first and second signals (2657; 2658), and to provide a therapy control signal based on a desired change for the cardiovascular parameter and the detected change. a baroreflex stimulator, including: a pulse generator operable to generate a stimulation signal to provide intermittent baroreflex stimulation for a baroreflex therapy, wherein the baroreflex therapy includes the intermittent baroreflex stimulation such that the baroreflex therapy includes times with baroreflex stimulation and times without baroreflex stimulation; and a modulator operable to adjust the stimulation signal; a cardiovascular parameter monitor operable to monitor at least one cardiovascular parameter during the baroreflex therapy and provide a first signal indicative of the cardiovascular parameter during the times of the baroreflex therapy with baroreflex stimulation and a second signal indicative of the cardiovascular parameter during the times of the baroreflex therapy without the baroreflex stimulation; and a comparator operable to provide a detected change for the cardiovascular parameter based on the first and second signals (2657; 2658), and to provide a therapy control signal based on a desired change for the cardiovascular parameter and the detected change. a pulse generator operable to generate a stimulation signal to provide intermittent baroreflex stimulation for a baroreflex therapy, wherein the baroreflex therapy includes the intermittent baroreflex stimulation such that the baroreflex therapy includes times with baroreflex stimulation and times without baroreflex stimulation; and a modulator operable to adjust the stimulation signal; a cardiovascular parameter monitor operable to monitor at least one cardiovascular parameter during the baroreflex therapy and provide a first signal indicative of the cardiovascular parameter during the times of the baroreflex therapy with baroreflex stimulation and a second signal indicative of the cardiovascular parameter during the times of the baroreflex therapy without the baroreflex stimulation; and a comparator operable to provide a detected change for the cardiovascular parameter based on the first and second signals (2657; 2658), and to provide a therapy control signal based on a desired change for the cardiovascular parameter and the detected change.