My research has revealed sex and age differences in the symptoms of ACS that leave women at risk for delay in seeking treatment for symptoms, delay in diagnostic testing, and delayed treatment. I have funding from NHLBI to study the characteristics of prehospital delay and outcomes in patients treated for potential acute coronary syndrome in the emergency department. Our findings will aid in the development of interventions for both patients and clinicians to reduce prehospital delay for symptoms. I also am conducting a randomized controlled trial to test a standardized acupuncture protocol for chest pain/stable angina. In 2017, I received a Fulbright US Scholar Award to study traditional and novel risk for early onset cardiovascular disease in individuals with HIV. I spent the spring of 2018 in Rwanda, working with new partners to launch this research.