Heart disease1 is the world’s leading cause2 of death3. Yet4 most cases can be prevented5. Doctors say reducing deaths from heart disease will require6 not only changes7 in the way people live8.
It will also9 require changes in public policy10, and better11 public knowledge12 about differences in heart disease between13 men and women. Two conditions, coronary artery14 disease and microvascular disease, can both reduce15 blood flow16 to the heart.
Experts17 at Brigham and Women’s Hospital in Boston say heart disease in women18 is more likely19 to be caused by microvascular disease. Finding20 this condition may require21 tests other than22 an angiogram.
An angiogram is a kind of23 X-ray test. Doctors use it to look for24 a buildup25 of fatty plaque26 material that can block arteries. Arteries carry27 oxygen-rich blood28 away from29 the heart to the rest of the body.
The World Health Organization30 says heart disease kills31 eighteen million women a year. And these are not just older women. Carrie Vincent had a heart attack32 after giving birth33 to her first child34 at the age35 of thirty-one.
Ms. Vincent is now taking36 her message to women at meetings37 in their homes38 through39 an organization called40 Sister to Sister. Irene Pollin started Sister to Sister to educate women about heart disease. Ms. Pollin urges41 women to learn about42 their blood pressure43, cholesterol levels44 and other risk factors45 for heart disease.
Ms. Pollin teamed up with46 a heart specialist at Brigham and Women’s Hospital. Dr. Joanne Foody works mostly47 on prevention efforts48. She says, “The good news49 is we know that ninety percent of heart disease is preventable50 by reducing risk.”
That means51 not smoking, and it means controlling or avoiding52 diabetes. It also means keeping a healthy weight53 and eating healthy foods54. And it means exercising at least55 thirty minutes on most days56 and managing or reducing stress.
Dr. Dariush Mozaffarian at the Harvard School of Public Health also has other advice57. He says people should eat58 more fish, whole grains59, vegetables, vegetable oils and nuts60, and reduce the amount of salt61 and trans fats62 in their diets.
Trans fats can increase63 the risk of heart disease.Heart disease increasingly64 affects women in developing countries65. Dr. Mozaffarian places a lot of blame66 on the global epidemic of obesity67. He says, “People are getting68 chronic diseases not from eating too much, but eating poorly69. And so in fact70 what they’re not eating is actually71 probably mostly what’s harming72 them.” For VOA Special English, I’m Alex Villarreal. (Adapted from a radio program broadcast 26Oct2011)
Vocabulário
- Heart disease = doença cardiac
- world’s leading cause= a causa principal do mundo
- death = morte
- Yet = porém
- Prevented = prevenidos
- Require = exigir
- not only changes =não somente mudanças
- in the way people live = na forma em que as pessoas vivem
- also = também
- public policy = política pública
- better = melhor
- knowledge = conhecimento
- between = entre (duas coisas)
- coronary artery = artéria coronária
- can both reduce = podem ambas reduzir
- blood flow = fluxo sanguíneo
- Experts = especialistas
- Women = mulheres
- more likely = mais provavel
- Finding = descobrir
- may require = pode exigir
- other than = além de
- kind of = tipo de
- look for = procurer
- buildup = acúmulo
- fatty plaque = placa gordurosa
- carry = transportam
- oxygen-rich blood = sangue rico em oxigênio
- away from = para longe de
- World Health Organization = Organização Mundial de Saúde
- Kills = mata
- heart attack= ataque cardiac
- after giving birth = após dar a luz
- child = criança, filho(a)
- age = idade
- taking = levando
- meetings = encontros, reuniões
- homes= lares
- through = através
- called = chamado(a)
- urges = incentive
- learn about = aprender sobre
- pressure = pressão
- levels = níveis
- risk factor = fatores de risco
- teamed up with = uniu-se com
- mostly = principalmente
- prevention efforts = esforços de prevenção
- good news = boa notícia
- preventable = evitável
- means = significa
- avoiding = evitar
- keeping a healthy weight = manter um peso saudável
- healthy foods = alimentos saudaveis
- at least = pelo menos
- on most days = na maioria dos dias
- other advice = outro conselho
- should eat = deveriam comer
- whole grains, = grãos integrais
- nuts = nozes
- reduce the amount of salt = reduzir a quantidade de sal
- trans fats = gorduras trans
- increase = aumentar
- increasingly = cada vez mais
- developing countries = países em desenvolvimento
- places a lot of blame = coloca muita culpa
- obesity = obesidade
- getting = pegando
- poorly = pobremente, insuficientemente
- in fact = na verdade
- actually = realmente
- harming = prejudicando