explain pathophysiology of chest pain and the clinical manifestation and nursing diagnosis for the disease?

OK. I'm gonna do your homework for you. I might as well. I do it for my college aged sons every day.

Cardiac ischemia decreases the amount of adenosine triphosphate (ATP) in heart cells. This creates acidosis. The acidosis stimulates the myocardial nerve cells. This response creates an increase in adenosine which sends painful stimuli to the cerebral cortex.

ND: Impaired tissue oxygenation.

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