Multicenter Trial of Meditation and Health Education for Cardiometabolic Disease in Black Women

Inclusion Criteria: * African American women, * 55 years or older with at least one of the five cardiovascular conditions (below): Either/or: * coronary heart disease or * positive coronary angiography or * previous MI or * coronary revascularization or * percutaneous transluminal coronary angioplasty (PTCA). OR a risk factor assessment score of at least two points based on the Framingham study/ATP III report. Risk factors included diabetes, high systolic or diastolic BP, high cholesterol, high LDL-low HDL or smoking. Exclusion Criteria: Recent (last 3 months): * myocardial infarction * unstable angina * coronary artery by-pass grafting (CABG) * percutaneous transluminal coronary angioplasty (PTCA) * stroke within the preceding three months * carotid artery endarterectomy * atrial fibrillation * second or third degree AV block * heart failure * clinically significant valvular heart disease * major psychiatric disorders, * current alcohol/dependency disorder * other drug abuse dependency disorder * non-cardiac life-threatening illness * participating in a formal stress management program * plans to move out of the study area or travel extensively * unwillingness to accept randomization into any study group.