Syntrillo Telehealth Stroke Risk Reduction Study

Inclusion Criteria: * Age greater than or equal to 30 * Diagnosis of hypertension * One or more of the following: * Dtrial fibrillation * Diabetes * Chronic kidney disease (stage 2+) * Obesity (class 2+) * Obstructive sleep apnea * Coronary artery disease * Hyperlipidemia * Carotid stenosis (greater than or equal to 50%) * Congestive heart failure Exclusion Criteria: * History of stroke or TIA * Inability to consent or understand study * Residence in long-term acute care facility * Inability to ambulate independently * Non-English speaking * No internet access * Not residing in Virginia * Pregnancy or suspected pregnancy