Stress Reduction Protocol
Bridging Cardiology and Mental Health
Integrative Preventive Cardiology
Sherezade Ruano is an internationally recognised expert in Stress Reduction and Preventive Cardiology. As part of a highly regarded collaboration with Dr Aseem Malhotra, Consultant Cardiologist, Sherezade plays a pivotal role in delivering the Stress Reduction Protocol—a central component of Dr Malhotra’s method in cardiovascular prevention and rehabilitation. This work is undertaken both in London and internationally, and reflects her deep commitment to integrative, personalised care.
Her involvement centres on supporting patients referred by Dr Malhotra with a specific focus on the psychological and physiological dimensions of stress, anxiety, trauma, and nervous system dysregulation, factors increasingly recognised as significant contributors to cardiovascular disease. With an extensive clinical background in cardiac nursing, neurocardiology, and integrative mental health, Sherezade offers a truly distinctive approach that bridges the often-separated domains of modern medicine and holistic therapy.
In her clinical work, Sherezade merges Dr Malhotra’s evidence-based medical framework with her own method—RhythmiaBreath—a carefully developed model that brings together clinical breathwork, nervous system regulation, somatic techniques, integrative counselling, and the principles of functional medicine. Her work in Functional Cardiology and Functional Psychiatry further enriches the RhythmiaBreath approach, creating a multidimensional therapeutic framework that is as grounded in medical science as it is in humanistic care.
Each consultation Sherezade offers is fully tailored and deeply individualised. Her therapeutic approach is designed to help patients restore physiological balance, enhance heart-brain coherence, and build long-term emotional resilience. Whether supporting recovery after a cardiac event or working preventatively with those managing risk factors, Sherezade’s method assists in strengthening the impact of medical treatments, improving mental and emotional well-being, and creating space for sustainable lifestyle change.
Her delivery of the Stress Reduction Protocol is not only clinical, but also compassionate and highly attuned to the personal narratives that accompany health challenges. Patients are offered a space that is both structured and flexible, where science and empathy meet, and where healing is addressed holistically. This integrative, trauma-informed model recognises the fundamental truth that heart health cannot be treated in isolation from the rest of the human experience.
For patients seeking a credible, trusted, and expert-led path to cardiovascular health—one that acknowledges the vital connection between body and mind, Sherezade Ruano offers a service that is both profoundly therapeutic and clinically robust. Her work, in collaboration with Dr Malhotra’s Preventive Cardiology strategy, continues to redefine how we approach heart health in the 21st century.
“Through my breathwork practice, I find micro-moments of freedom”
