If there is a question regarding the 75% blockage you may be a candidate for what is called fractional flow reserve (FFR) which is a test done at the time of the cath and it will tell if the blockage is significant and warrants treatment.
Yes, a 75% occlusion can cause angina (chest pain), however, nitro should dilate coronary vessels enough to avoid any angina! An angiogram is more reliable source for detecting blockage than a stress test...but neither are 100%.