This document discusses the evaluation and management of chest pain, including different risk factors for coronary artery disease and appropriate initial testing. It describes 4 cases of patients presenting with chest pain and recommends the most likely diagnoses and initial tests. It also reviews the characteristics of different types of chest pain and associated conditions. Key points covered include the importance of the character of chest pain in determining the next steps, as well as stress testing as an initial test for exertional chest pain after a normal electrocardiogram.