Clinical Research Directory

Inclusion Criteria: * -Both sexes between the age of 18-85 years at time of consent * Ischemic or hemorrhagic stroke at consent. People with stroke and newly diagnosed cardiovascular complications had \>50% prevalence of recurrent stroke at 5 years. Index stroke or recurrent stroke on same side as index stroke will be allowed. * Exercise continuously for minimum of 30 watts for 3 minutes on the recumbent stepper to demonstrate ability to perform the exercise test or therapist confirmation/documentation of participant's ability to use the recumbent stepper. * No aerobic exercise contraindications or other safety/physical concerns during the submaximal exercise test determined by the therapy team or inpatient physicians. * Able to communicate with investigators, follow 2-step command \& correctly answer consent comprehension questions Exclusion Criteria: * Implanted pacemaker or defibrillator limiting exercise performance * Reported pain that limits or interferes with activities of daily living and physical activity/exercise * Acute Myocardial Infarction in the last 2 days * Ongoing unstable Angina * Active Endocarditis * Symptomatic Severe Aortic Stenosis * Decompensated Heart Failure * Acute Pulmonary Embolism, Pulmonary Insufficiency, or Deep Veinous Thrombosis * Acute Myocarditis or Pericarditis * Other significant neurologic, orthopedic, or peripheral vascular conditions that would limit exercise participation * Oxygen-dependent chronic obstructive pulmonary disease * Neurological disease (Multiple Sclerosis, Alzheimer's disease, Parkinson's disease) * Pregnancy