This is a quasi-experimental study designed to optimise secondary prevention for patients with cardiovascular disease. In this project we will evaluate the feasibility of an innovative, tailored telehealth education and counselling program for patients with cardiovascular disease living in rural areas. The study involves delivery of tailored education and counselling through teleconsultation.

Participants: Patients diagnosed with cardiac conditions such as acute coronary syndrome/myocardial infarction, revascularisation procedure (angioplasty), stable and unstable angina, post coronary artery bypass grafting, post cardiac valve replacement surgery, atrial fibrillation and heart failure will be recruited.

Recruitment: Patients with cardiovascular diseases, aged>=18, enrolled into CATCH (Country Access to Cardiac Health) program and living in rural and remote Australia will be included in the study. Eligible participants will be identified from the CATCH database and will be invited to participate in the study. 

Data Collection: Survey will be designed and sent out, validated tools including the WHO STEPs instruments, international physical activity questionnaire, medication adherence rating scale and short form 12 self-reported quality of life questionnaire will be used.