"Hold your head high, heavy heart" is an English equivalent of the Italian phrase Tenere la testa alta, cuore pesante.
Specifically, the infinitive tenere means "to hold." The feminine singular definite article la means "the." The feminine noun testa means "head." The feminine adjective alta means "high." The masculine noun cuore means "heart." The feminine/masculine adjective pesante means "heavy."
The pronunciation is "the-NEH-reh lah THE-stahl-tah KWOH-reh peh-ZAHN-teh."
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