Clinical Research Directory

Inclusion Criteria: * Indication for CR according to Centers for Medicare \& Medicaid Services (CMS) guidelines (diagnosed within the preceding 12 months) to include one or more of the following: * Myocardial infarction * Coronary artery bypass surgery * Current stable angina (chest pain) * Heart valve repair or replacement * Percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting * Heart or heart-lung transplant * Stable chronic heart failure * Receiving care at one of the participating CR centers * Age ≥18 years * Basic Internet navigation skills * Active email address * Access to Internet at home or public access (church, library, etc) for 3 virtual visits per week Exclusion Criteria: * High risk patients according to the AACVPR risk stratification44 given safety concern of unsupervised exercise * Patients receiving continuous inotropic support * Recent receipt of a mechanical support device * Presence of hemodynamically unstable dysrhythmias (e.g., ventricular tachycardia) * Decompensated heart failure * Symptomatic valvular heart disease * Uncontrolled angina * Pregnancy (due to associated hormonal and weight changes) per patient report * Receiving continuous inotropic support * Presence of a mechanical circulatory support device * Decompensated heart failure * Symptomatic valvular heart disease * Uncontrolled angina * Presence of hemodynamically unstable dysrhythmias (e.g., ventricular tachycardia) given safety concern of unsupervised exercise * Visual/hearing impairment or mental disability that would preclude independent use of the VW platform * Non-English-speaking patients due to logistical challenges with real time translation over a virtual platform * Currently participating in a cardiac rehab program