Smoking is not a sign or symptom of high blood pressure, but there is a strong association with adults who smoke and increased blood pressure values. Quite possibly one of the worst habits for your health, smoking can cause atherosclerosis (hardening and narrowing) in your arteries and it can damage your heart as well. When your arteries become hardened and narrowed, chest pain is likely to appear in a hurry. If you are a current smoker, it is wise to stop immediately regardless of how long you previously smoked. Your doctor can help set you on a path for success to help improve your health.