Inclusion Criteria |
• Patient over the age of 18 |
• Ability to understand and speak English |
• Ability to understand the study protocol and able to provide informed consent |
• Admitted to hospital and diagnosed with an acute coronary syndrome and have documented coronary artery disease on coronary angiography (coronary artery stenosis >50% in at least one coronary artery) treated either medically or with percutaneous coronary intervention |
• Have low level of physical activity, defined by not meeting recommended weekly exercise targets. |
• Personal ownership of a smartphone able to run the Fitbit application |
• Agreement to complete cardiac rehabilitation program. |
Exclusion Criteria |
• Inability or unwillingness to provide informed consent |
• Significant residual coronary artery disease requiring planned revascularisation |
• Unstable angina |
• Blood pressure > 180/110 or symptomatic orthostatic blood pressure decrease >20 mmHg |
• Uncontrolled ventricular or atrial arrhythmias |
• Musculoskeletal or medical problems resulting in significant exercise limitation |
• Significant medical co-morbidities with life expectancy of less than one year |
• New York Heart Association (NYHA) Functional class III-IV |
• Current illicit drug or alcohol use or dependence that in the opinion of the principal investigator would interfere with adherence |
• Clinical signs of cognitive impairment |