Reading

Pre reading:

Here is a list of words/expressions, and their definitions. Read the definitions carefully and fill
each gap in the text with a suitable word/groups of words based on the context. You may have to
change some word forms:

supervision                              monitoring

extent                                      range, size

take into account                      pay attention to, notice, think about

stick to                                    keep to, adhere

assess                                               measure, evaluate

angina                                      medical condition in which not enough blood gets to
your heart, so that you get pains in the chest

treadmill                                   an exercise device consisting of an endless belt on
which a person can walk or jog without changing place – do you know the Czech expression? běžecký
trenažér/pás

extensive                                 large

conduct                                   lead

anxiety                                     a nervous, worried feeling

prescribe                                 to instruct , to order (a drug or medical device) for use
by a particular patient



Cardiac Rehabilitation

"Cardiac rehabilitation" is a structured programme which helps you develop a heart-friendly
lifestyle. Ideally, it will consist of three components: exercise, risk factor modification, and
dealing with stress and depression.

Exercise Rehabilitation

Exercise may be the most important component of a cardiac rehabilitation programme, because regular
exercise not only directly improves your cardiovascular system, but it also helps you with weight
control, improves your response to stress, and helps you _____________________ your heart-healthy
diet.

It is necessary to find out which exercises are safe for you. Developing a safe exercise programme
requires ___________ several factors ________________ - including your general physical condition,
the ______________ of the heart attack you've had, whether you are still having ________________,
your weight, and the condition of your limbs and joints. You perform a stress test, usually on a
______________________, helps the exercise rehabilitation clinician ____________________ all of
these factors.

After all necessary tests your rehab clinician will work with you (and your doctor) to
______________ a safe exercise program. This prescription will include the appropriate type
(walking, jogging, swimming, etc.), duration, frequency and intensity of exercise that will safely
improve your heart health.

Most often after a heart attack, the first several exercise sessions will be _______________ under
medical _________________, possibly with cardiac monitoring. But after a few weeks, as your heart
heals you will begin following a home-based exercise program.

Lifestyle "Rehabilitation"

Most cardiac rehabilitation programmess today include ________________ educational sessions on
modifying your cardiac risk factors, such as weight control, smoking, and diet (cholesterol).

Psychosocial "Rehabilitation"

It is quite common to go through a period of depression or _______________ after an MI (myocardial
infarction). Unfortunately, these problems can directly worsen your cardiac health.

Many cardiac rehabilitation programmes employ individuals who are trained to recognize and help you
work through the psychosocial issues that may inhibit your recovery.

Summary

Choose the summary that best expresses the meaning of the article:

A/ For patients with heart disease, cardiac rehabilitation programme often represents an
opportunity to eat right, exercise more, and carefully monitor risk factors that could lead to a
new cardiac event.

B/ The most important part of a cardiac rehabilitation is represented by exercises. To exercise in
the right way patients need a prescription from their physician of physiotherapist.

C/ Cardiac rehabilitation is a complete programme that reduces the risk of a new myocardial
infarction as well as other heart diseases.

APPENDIX

Cardiac rehab is not only for patients who suffered a heart attack. Cardiac rehab can be beneficial
for patients who have undergone coronary artery bypass surgery, angioplasty, pacemaker insertion,
aortic aneurysm repair or replacement, or heart valve repair or replacement. It is also beneficial
to people with some forms of congestive heart failure, angina pectoris (chest pain due to narrowed
arteries) or congenital heart disease.

Task:

Prepare a short talk about the above given heart surgeries and heart problems/defects.


LISTENING

http://www.youtube.com/watch?v=RwWDOZ9oTP8

Listen to a short presentation about angioplasty and answer the questions:

1.     What are other expressions for angioplasty? :

2.     What arteries is angioplasty performed on? :

3.     Describe the procedure of angioplasty in your own words.