Unit 18. Heart diseases.

Ex.1.Read and memorize the words:

note -	помічати;
frequently -	часто;
radiate -	розповсюджуватися;
incidence -	частота;
overstrain -	перенапруга;
deviate -	відхилятися;
disturbance -	порушення;
adequate -	відповідний;
diminish -	зменшуватися;
rise (rose) -	підніматися

Ex.2. Match the word combinations:

complain of pain -	різної інтенсивності
various intensity –	напади болю
behind the breastbone -	погіршуватись
attacks of pain –	скаржитись на біль
to grow worse –	часто пов’язано
frequently associated –	стенокардія
cold perspiration –	головна причина
angina pectoris –	холодний піт
main course –	за грудиною

Ex.3. Read and translate the text:

Angina Pectoris

On being admitted to the in-patient department the patient complained of pains in the chest. He had been suffering from pains of various intensity in the chest and behind the breastbone for several weeks. The patient noted the pain to radiate to the left shoulder and down the arm. The patient also observed the pain have been growing worse on moving. He stated that it frequently began suddenly at night during sleep. During the attacks of pain he was covered with cold perspiration and his face was pale. The incidence of attacks was frequently associated with physical and mental overstrain.

On physical examination the doctor revealed areas of very sensitive skin from the 7th cervical vertebra to the 5th upper thoracic one. On percussion, palpation and auscultation of the heart no significant abnormality was revealed.

The electrocardiogram taken during the attack showed a disturbance in the blood flow. The most important readings of the electrocardiogram were either diminished or deviated. By having repeated the electrocardiogram after the end of the attack the cardiologist found the adequate readings of the electrocardiogram to return to normal ones. During the attacks of moderate pain no changes in the peripheral blood or elevation of body temperature were noted. However the temperature rose insignificantly and there was an accompanying slight leucocytosis when the attacks of pain were particularly severe. The doctor made the diagnosis of angina pectoris with a severe course. Its main cause was atherosclerosis of the coronary arteries.

Ex.4. Give the Ukrainian equivalents for:

behind the breastbone; to radiate to the left shoulder and down the arm; was covered with cold perspiration; physical and mental overstrain; a disturbance in the blood flow; readings of the electrocardiogram; made the diagnosis of angina pectoris; main cause; severe cause; elevation of temperature; rose insignificantly; attacks of pain.

Ex.5. Give the English equivalents:

скаржитись на; показання електрокардіограми; біль різної інтенсивності; за грудиною; частота нападів; при перкусії, пальпації та аускультації серця; порушення кровотоку; незначне підвищення температури; поставив діагноз; головна причина.

Ex.6. Fill in:

1. The patient had been suffering from pains of various intensity in the... .

2. The patient noted the pain to radiate to the... .

3. The patient also observed the pain have been growing worse on....

4. During the attacks of pain he was covered with... .

5. The incidence of attacks was frequently associated ... .

6. The temperature rose.... and there was an accompanying... when the attacks of pain were particularly severe.

7. The doctor made the diagnosis of ... with a severe course.

8. The main cause of his disease was… .

Ex.7. Answer the questions:

1. What did the patient complain of? 2. Where did the pain radiate? 3. What did the patient observe? 4. What was the incidence of attacks associated with? 5. What did the doctor reveal on physical examination? 6. What did the electrocardiogram show? 7. What diagnosis did the doctor make? 8. How long had the patient been suffering from pains? 9. What is the main cause of angina pectoris?