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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Why Readers Trust Dr. Bereliani’s Approach
Symptoms Women Are Often Told Are “Not Cardiac”
Many women do not experience crushing chest pain. They experience symptoms that feel easier to dismiss, by others and by themselves.
Sudden anxiety with no clear cause
Sleep disruption
Jaw, neck, shoulder, or upper back discomfort
Swelling in legs
Unexplained weight gain
Nausea or indigestion
Unusual or overwhelming fatigue
Shortness of breath with simple activity
Tightness/heaviness in the chest
Flu-like feeling
Heart palpitations or fluttering
Sudden anxiety with no clear cause
Racing heartbeat
Shortness of breath
Excessive/sudden swelling
Blood pressure rise
Unusual fatigue
Dizziness or feeling faint
Chest pressure
Gestational hypertension
What This Book Helps You Finally Understand
This is not another general heart health book. It reveals what has been overlooked for decades and what you need to do to protect your or your loved ones. You'll learn:
Most research, diagnostic criteria, and symptom descriptions were built around men.
Women often present differently, and as a result, they are more likely to be misdiagnosed or sent home during early heart events.Heart disease remains the leading cause of death in women, yet awareness of female-specific symptoms remains dangerously low.
Women experiencing early cardiac symptoms are significantly more likely to have their symptoms attributed to stress, panic, or indigestion.
Jaw pain. Upper back discomfort. Flu-like nausea. Overwhelming fatigue.
Not dramatic. Not textbook. Often dismissed.Pushing through exhaustion. Ignoring shortness of breath. Blaming poor sleep.
High-achieving, multitasking women often normalize symptoms that deserve attention.Standard screenings may miss inflammatory, hormonal, and microvascular risk factors that affect women differently.
Pregnancy history. Preeclampsia. Early menopause. Autoimmune conditions. Hormonal shifts.
These are rarely emphasized in traditional prevention models.Women are more likely to experience non-obstructive coronary disease or microvascular dysfunction, conditions that may not show up clearly on standard angiograms.
The specific biomarkers, screenings, and preventive strategies women should discuss with their physicians.
The right questions. The right tests. The right language.
So you are never dismissed again.
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.
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