Building Strength Through Rehabilitation for Heart Failure Patients (BISTRO-STUDY)

Exclusion Criteria

• •Patients, who have undertaken cardiac rehab within the 12 months prior to enrollment
• •Cognitive or other impairment which prevents accurate application of intervention or inability to provide informed consent
• •End Stage Renal Disease or receiving mechanical ventilation
• •Receiving non-approved FDA-investigational agents or devices,
• •Has received a heart transplant, a destination Ventricular Assist Device (LVAD), pacemaker, or implantable cardiac device
• •previously used NMES (Neuromuscular electrical stimulation) or TENS (Transcutaneous electrical nerve stimulation)
• •Uncontrolled arrhythmia's or 3 degree AV heart block
• •are unable to correctly apply and operate the device even after instruction
• •Those with wounds over area of proper placement of electrodes
• •Those who are unable to speak and write English.