Smoking of tobacco cigarettes is associated with a rise in blood pressure together with increase in heart rate. This study was aimed to examine the acute effect of tobacco and non-tobacco cigarette smoking on the blood pressure and heart rate by randomized crossover study. In the results, systolic/diastolic blood pressure and heart rate changes after smoking were significantly different between male and female group. Blood pressure and heart rate were elevated after smoking, but statistical significance for the difference was identified only in the female group. Because Non-tobacco smoke made from leaves of E. ulmoides has no nicotine, its effect on blood pressure and heart rate was negligible. Remarkable difference of heart rate changes in women was observed between tobacco cigarette smoking group and non-tobacco cigarette smoking group.