Background: The current assumption is that noncardiac chest pain (NCCP) patien ts diagnosed by a cardiologist are commonly referred to a gastroenterologist for further evaluation. Thus far, there are no studies that assess the clinical app roach and referral patterns of cardiologists when evaluating subjects with NCCP. Aim: To determine the extent of involvement of cardiologists in the management of NCCP patients. Methods: Cardiologists were randomly selected from the America n College of Cardiology national membership list and sent a 20-item questionnai re that included demographic information, characteristics of practice, preferenc es of diagnostic tests, referral patterns, and treatment plans. Results: A total of 246 (33%) cardiologists returned the questionnaire. A mean of 12.6%of pati ents were diagnosed with NCCP and 45.5%were treated by a cardiologist in the pa st 6 months. Of the NCCP patients that were referred, most ended up in the prima ry care physician clinic (45.9%) followed by gastroenterologist clinic (29.3%) . Most cardiologists are either comfortable (35%) or very comfortable (43.1%) in diagnosing NCCP. Proton pump inhibitors (44.9%), life-style modifications ( 28.7%), and H2 blockers (11.8%) are the three most commonly used therapeutic m odalities for NCCP. Conclusion: Cardiologists manage about half of the diagnosed NCCP patients by themselves. Of those NCCP patients that are referred, cardiolo gists prefer to send them to a primary care physician rather than a gastroentero logist. Background: The current assumption is that noncardiac chest pain (NCCP) patien ts diagnosed by a cardiologist are generally referred to a gastroenterologist for further evaluation. Thus far, there are no studies that assess the clinical app roach and referral patterns of cardiologists when evaluating subjects with NCCP. Aim: To determine the extent of involvement of cardiologists in the management of NCCP patients. Methods: Cardiologists were randomly selected from the America n College of Cardiology national membership list and sent a 20-item questionnai re that included demographic information, characteristics A total of 246 (33%) cardiologists returned the questionnaire. A mean of 12.6% of pati ents were diagnosed with NCCP and 45.5% were treated by a cardiologist in the pa st 6 months. Of the NCCP patients that were referred, most ended up in the prima ry care physician clinic (45.9%) follo wed by gastroenterologist clinic (29.3%). Most cardiologists are either comfortable (35%) or very comfortable (43.1%) in diagnosed NCCP. Proton pump inhibitors 11.8%) are the three most commonly used therapeutic od odities for NCCP. Conclusion: Cardiologists manage about half of the diagnosed NCCP patients by themselves. Of those NCCP patients that are referred, cardiolo gists prefer to send them to a primary care physician rather than a gastroentero logist.