Online Tai Chi Plus Fitbit After ACS

This projects studies the role of tai chi exercise and wearable fitness trackers to promote physical activity in acute coronary syndrome (ACS) survivors.

Inclusion Criteria:History of ACS (unstable angina, NSTEMI, and STEMI, defined per current AHA/ACC criteria);Age ≥ 18;Being physically inactive (i.e., < 150 min/week of moderate-intensity aerobic PA);Absence of contraindications to physical exercise per the participant's provider evaluation;Access to a digital device with internet connection;Having an active email account and ability to check email at least weekly;Physician clearance to participate in low-moderate intensity exercise (tai chi), including a statement that there is no contraindication to exercise based on post-ACS stress test and other factors, as appropriate;English speakingExclusion Criteria:Inability or unwillingness to give informed consent;Blood pressure >200/110 or orthostatic systolic blood pressure decrease >20 mmHg at the baseline visit;Uncontrolled/untreated atrial or ventricular arrhythmias or 3rd degree AV block;Within 3 months of a diagnosis of pericarditis or myocarditis;Medical conditions likely to limit lifespan to less than one year;New York Heart Association (NYHA) functional class IV;Severe cognitive impairment (BOMC >10);139Orthopedic problems prohibiting TC practice;Ongoing TC or other mind-body training (i.e., meditation, TC, or yoga) at least weekly;Current enrollment in cardiac rehabilitation;Untreated severe depression (PHQ>=20);Conditions likely to affect study compliance (i.e., moving out of study area, substance use, ongoing untreated psychosis);Symptoms of unstable cardiovascular disease (e.g., shortness of breath or chest pain at rest and/or Canadian Cardiovascular Society Angina Class III-IV)