2. Complete the sentences.

1) Being overweight can be a problem because ………

2) Having sticky blood can be a problem because …………

3) Having a family history of heart disease can be a problem because ………

4) Having cold hands and feet can be a big problem because ………

3. Ask questions you might ask your doctor about coronary heart disease.

4. Fill in the gaps to complete the summary of the article.

1. The article is about ………….

2. Its risk factors are ………….

3. Smoking ………….

4. High blood pressure ………….

5. Explain to your patient how to reduce the risk of developing coronary heart disease. Do not forget to mention the factors that cannot be changed, but must be taken into consideration (приняты во внимание).

6. 1) Write a short summary of the article.

2) Explain to your patient that it is more efficient to eat fish rich in omega-3 fatty acids than their supplements.

The recent research analysis has shown that to prevent heart disease is necessary to eat oily fish such as salmon and tuna, which are all rich in omega-3 fatty acids, not their supplements.

There were 14 published medical studies selected. The researchers looked at more than 20,000 patients who had a history of cardiovascular disease. The patients' average age was 63. Nearly 80% were men. The daily dose of omega-3 fatty acid supplement ranged from about 0.5g to nearly 5g a day.

It was essential to find out if the supplements made a difference in sudden cardiac death, heart attack, heart failure, death from any cause, stroke or transient ischemic attacks (also called ‘mini-strokes’). The conclusion was that the risk of any of those problems was not reduced by the supplements.

However, there were all the reasons to believe that it was effective to eat fish rich in omega-3 fatty acids, not supplements. It was demonstrated that eating fatty fish 2 or more times a week is linked with a lower risk of death from cardiovascular disease. For those who don't like fish, eating plant-derived omega-3 fatty acids from flaxseed (семя льна), walnut (грецкий орех), soybean is suggested.

UNIT 6. MYOCARDIAL INFARCTION.

Read the article and do the tasks below.

While reading, find the words and expressions that mean the following:

1) данные, информация; 2) предполагаемый сердечный приступ; 3) необъяснимая тревожность; 4) более точный анализ; 5) тошнота; 6) рвота; 7) потоотделение.

Heart attack test 'detects more'

Scientists developed a test that could measure damage to heart muscles at a level 4 times deeper than the standard blood test. The blood test measures a protein - troponin - which is released when heart cells are damaged during a heart attack (or myocardial infarction or MI). MI usually happens when the blood supply to a part of the heart muscle is completely interrupted or stops, usually when a blood clot forms in a diseased coronary artery that's already become narrowed by atherosclerosis.

Data from more than 2,000 patients admitted to cardiac units with chest pains and suspected heart attacks was analyzed. Apart from chest pain, most of the patients had difficulty breathing, sweating, nausea or vomiting, felt unexplained anxiety and weakness. However, there were patients with minor heart attacks who hardly had any symptoms of MI and did not have any chest pains.

Researchers said the more sensitive test could help identify heart attacks which could be traditionally undiagnosed and patients were more likely to see a specialist.

Prof. Peter Weissberg commented: "This promising study shows us that by using a more sensitive test for heart muscle damage, more patients who come to hospital with chest pains are identified as having suffered a small heart attack. Over recent years it has become clear that people who suffer heart pain (but only have a small amount of heart damage) are at a very high risk of going on to have a larger, potentially fatal, heart attack if left untreated. The new test will help doctors identify this vulnerable group of patients."