Lesson 12 HEART

Vocabulary
Blurred- zamagljen, nejasan Tightness- stegnutost Aggravate- pogorava Radiate- iriti se, zraiti Loin- slabina Exert- naprezati se Somewhat- neto, malo Referred- upuen, preporuen Palpitations- lupanje srca

Ex. 1 From the group pf phrases below, choose the one wich is not relevant to a patient with heart problems.
a) Patients complaints A) shortness of breath B) blurred vision C) tightness in the chest b) What aggravates a heart patients complaints? A) going up the stairs B) climbing up a mountain C) swimming in the pool

c) Where does the pain radiate? A) to the neck B) to the shoulder C) to the loin d) Where will the patient notice some swelling? A) wrist B) ankles C) feet

e) How does the heart beat? A) rapidly B) it skips beat C) musically

Now listen to the dialogues. Dialogue A is in British English, Dialogue B is in American English.

D: What seems to be the problem at the moment? Can you tell me what are your complaints? P: I seem to be getting very short of breath nowadays, so I thought it best to come in to see you. I also feel a tightness in my chest. I seem to be getting very short of breath lately, also I feel tightness in my chest, so I thought it would be wise to come in and see you. D: How long has this been going on? P: It seems to have been getting worse over the last few weeks. D: Are you short of breath all the time or is it just when you walk up the stairs? Are you short of breath all the time or is it just when you exert yourself? P: Well, its hard work going up the stairs. The pain feels like a knife. Well, the pain gets worse when I exert myself. It feels kind of like a knife. D: Does the pain move to other areas as well? Does the pain radiate to other areas as well?

P: Yes, it moves to my neck, my left arm, my back and my shoulder. Yes, it radiates to my neck, my left arm, my back and my shoulder. D: Do you ever feel sick or sweaty when that happens? P: Well, I dont feel sick but I often break out in sweat. Well, I dont feel sick but I often break out into a sweat. D: Do you ever feel that your heart beats unusually fast or slow? P: Yes, sometimes it beats really slowely, then from time to time skips a beat then continues to beat very rapidly. D: Can you tap out with a finger what the rhythm feels like to you...good. Have you had any swelling in your ankles? P: Yes, both of my feet have been somewhat swollen. D: Does it go down overnight or are they still swollen in the morning? P: Oh, my feet feel much better and they arent as swollen in the morning.

Ex. 2 There are six pairs of statemants below. Only one of each pair is true, based on the dialogue. Thick the correct statements.
a) A The patient is referred by his family doctor. B The patient himself decided to consult a specialist. b) A The conditions been getting worse over the last four weeks. B The condition has changed over the last four weeks. c) A The pain radiates to the right half of his body. B The pain radiates to his left arm.

d) A His heart always beats rapidly. B He has palpitations. e) A His heart beats either slowly or rapidly. B His heart skips a beat several times per minute. f) A Only one of his feet is swollen by the evening. B The swelling of his feet disappears by the morning.

Vocabulary
Spread/ travel- iriti Relieved- olakan, oslabljen Break out- izbiti, probiti Fairly- dosta, prilino Pressure- pritisak

Ex. 3 From the box choose the opposite of the expressions underlined in the sentences.
aggravated spread/travel/radiate slowly improved sit

a) Does your job require you to stand? b) Does your heart beat rapidly? c) Are your heart palpitations relieved by holding your breath? d) Does the swelling seem worse at the end of the day? e) Does the pain seem to be localised?

Ex. 4 Formulate questions based on the patients answers in the following dialogue.
D: Have you ever had any medical and heart problems? P: Ive never been diagnosed with anything but I think something could be wrong with my heart. D: What seems to be problem with your heart? P: It beats irregulary especially when I smoke. D: What kind of pain do you get during exercise? P: I get pressure in my chest sometimes when I have to walk a long distance. D: Do you often get short of breath? P: Absolutely. Im always short of breath when I go upstairs.

D: Do you ever feel sweaty when this happens? P: I break out in a really bad sweat when my chest hurts. D: Where does the pain move? P: Down my left arm. D: And have you had any swelling in your feet or ankles? P: Yes, my ankles seem to be swollen all the time. D: Do your feet hurt all the time? P: Yes, the pain is fairly constant, but it helps when I put my feet up.