Pregnancy brings changes. Everyone knows that.
New sensations, new discomforts, a body that no longer feels familiar.
But for some women, pregnancy is the first time their heart is asked to work differently, harder, faster. When new changes appear, things like unusual fatigue, shortness of breath, a racing heart, dizziness, swelling, chest discomfort, or blood pressure that begins to rise, they are often brushed off as part of the process, stress, or anxiety.
About 1 to 4 percent of pregnancies are complicated by maternal heart disease, but certain symptoms should never be ignored.
This is not a book meant to scare you.It is meant to offer clarity and support prevention.
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Racing heartbeat
Shortness of breath
Excessive/sudden swelling
Blood pressure rise
Unexplained worry
New or worsening fatigue
Lightheadedness
Chest tightness or pressure
Unusual fatigue
Dizziness or feeling faint
Chest pressure
Gestational hypertension
The Questions This Book Answers
These questions come up during perimenopause, menopause, and long after the transition.
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Are these heart palpitations just menopause, or is something wrong with my heart?
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Why does my heart race at night when I am trying to sleep?
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My blood pressure was always normal. Why is it rising now?
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Does menopause increase my risk of heart disease?
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Is shortness of breath part of menopause, or should I be concerned?
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I feel more anxious than I used to. Is it hormones or my heart?
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My cholesterol suddenly went up. Is that related to menopause?
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Can menopause trigger arrhythmias or irregular heartbeats?
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I never had heart problems before. Why do I feel different now?
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Does hormone therapy protect the heart, harm it, or do nothing?
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If heart disease runs in my family, does menopause increase my risk even more?
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How do I know which symptoms are “normal” and which deserve testing?
What If Menopause Was Not Anxiety, Stress, or “Just Aging”?
Heart palpitations at night. Blood pressure creeping up. Exhaustion you cannot explain. Many women are told it is just stress or hormones, until years later they realize those changes were trying to tell them something. This book helps you understand what truly matters, before you are left wondering.
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Why Readers Trust Dr. Bereliani’s Approach
About The Author
Dr. Arash Bereliani is board-certified in Cardiovascular Disease and Internal Medicine. He serves as a Clinical Associate Professor of Medicine and Cardiology at the David Geffen School of Medicine at UCLA and is on staff at Cedars-Sinai Medical Center. He is also the Medical Director of The Beverly Hills Institute of Cardiology and Preventive Medicine.
He earned his medical degree from Finch University of Health Sciences, graduating first in his class and earning induction into the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine residency and Cardiology fellowship at Ronald Reagan UCLA Medical Center.
With more than twenty-eight years in practice, Dr. Bereliani focuses on prevention, early detection, and highly individualized cardiovascular care.
Symptoms Women Often Experience During and After Menopause
During perimenopause and menopause, you may have noticed:
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This is not a book meant to scare you.
It is meant to replace uncertainty with understanding.
You do not need to remember every detail. You do not need to act on everything at once. You only need to know that menopause matters for heart health, and that understanding it gives you a clearer path forward.
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Why menopause matters for heart health
Menopause marks a major shift in a woman’s cardiovascular health.
As estrogen levels change, blood vessels become less flexible, cholesterol patterns shift, and blood pressure often begins to rise. The heart must adapt to these changes over time, not all at once, and not always with obvious symptoms.
For many women, these changes are gradual. For others, menopause reveals how the heart responds under hormonal and metabolic stress.
That information does not disappear simply because hot flashes fade or sleep improves.
Menopause is not just a hormonal transition.
It is a critical window for understanding and protecting long-term heart health.
Brain fog
Sleep disruption
Heart palpitations
Blood pressure rise