Telehealth-enhanced Hybrid Cardiac Rehabilitation Among Acute Coronary Syndrome Survivors

Inclusion Criteria:

1. over the age of 18;

2. can speak and read English or Spanish;

3. confirmed ACS based on ICD-10 codes; and

4. had their index event within the past 12 months.

Exclusion Criteria:

1. severe disabling chronic medical and/or psychiatric comorbidities determined on acase-by-case basis that prevent safe or adequate participation;

2. high-risk for adverse exercise-related cardiovascular events according to the AACVPRrisk stratification criteria;

3. participated in >1 CR program session;

4. deemed unable to comply with the protocol (either self-selected or indicated duringscreening that s/he could not complete all requested tasks). This includes, but isnot limited to, patients with a level of cognitive impairment indicative ofdementia, patients with current alcohol or substance abuse, patients with asignificant movement or balance disorder that interferes with walking, patients withimpaired circulation or poor perfusion that may impede pulse oximeter readings, andpatients with severe mental illness (e.g., schizophrenia);

5. home-based environment deemed incompatible with the protocol and/or that preventsafe or adequate participation (either self-selected or indicated duringscreening/onboarding process); and

6. unavailable for follow-up for reasons such as terminal illness and imminent plans toleave the United States (as we have migrant or mobile patients due to theircitizenship and work issues).