With use of a randomized, placebo-controlled trial, 62 healthy, postmenopau
sal smokers and nonsmokers were tested for resting and stress-induced hemod
ynamic variables before and after 6 months of treatment with either oral ho
rmone replacement therapy or placebo. Smokers had significantly less reduct
ion in both resting and stress-induced vascular resistance and blood pressu
re after treatment with oral hormone replacement therapy than nonsmokers.