BOOST: Blended Onsite and Offsite Structured Exercise Training and Coaching

Exclusion Criteria

• •Significant change in cardiac medication or heart failure (HF) symptoms within 3 weeks prior to enrollment
• •Hospitalization or urgent care visit for HF within 4 weeks prior to enrollment
• •Acute coronary syndrome, stroke, transient ischemic attack; cardiac, carotid or other major Cardiac Vascular (CV) surgery; percutaneous coronary intervention (PCI) or carotid angioplasty, within 30 days prior to enrolment
• •Uncontrolled hypertension
• •Recent or debilitating stroke
• •Severe pulmonary disease including chronic obstructive pulmonary disease (COPD)
• •Hemoglobin (Hgb) \< 9.5 g/dL males and \< 9 g/dL females within 30 days prior to enrollment
• •Patients with a history of heart transplant or Left Ventricular Assist Device (LVAD), currently on the transplant list
• •Significant, unrepaired cardiac valvular disease
• •A non-cardiac medical condition with an estimated life expectancy of \< 12 months
• •Known pericardial constriction, genetic hypertrophic cardiomyopathy, or infiltrative cardiomyopathy including amyloid heart disease (amyloidosis)
• •Life-threatening or uncontrolled dysrhythmia, including symptomatic or sustained ventricular tachycardia and atrial fibrillation or flutter
• •A treadmill exercise test revealing: ischemia; chest pain or leg claudication; exercise Systolic Blood Pressure \> 240 mmHg, Diastolic Blood Pressure \> 110 mmHg; unstable hemodynamics or rhythm; or unwilling or unable to complete adequate exercise test
• •Already engaging in regular moderate to vigorous exercise conditioning defined as \>30 minutes per day, ≥twice per week consistently during the previous 6 weeks
• •Any condition that in the judgement of the investigator precludes participation in study or study procedures such as significant dementia, mobility impairment, uncontrolled psychiatric disease, etc.
• •Inability to meet the expectations of the intervention (i.e., excessive distance from facility, work conflict with intervention)