Nord List for Angina Concept map 1. Myocardial cells are deprived of oxygen and glucose needed for aerobic metabolism and contractility. 2. referred cardiac pain to the shoulders, neck, lower jaw, and arms. 3. Lactic acid irritates myocardial nerve fibers and transmits a pain message to the cardiac nerve: and upper thoracic posterior nerve roots. 4. Stable 5. Atherosclerotic Plaques 6. atypical symptoms of angina including dyspnea, nausea, and/or fatigue. 7. Anaerobic metabolism begins and lactic acid accumulates. 8. Increased risk of MI within 3 months 9. Variant 10. Pain between shoulder blades 11. emotion 12. Alpha receptor mediated 13. Acute Coronary syndrome 14. Occlusion of coronary artery 15. Vasoconstriction 16. Exercise induced 17. Unstable 18. indigestion or a burning sensation in the epigastric region..