Tele-yoga Program in COPD and Heart Failure

Inclusion Criteria:

Patients with heart failure (HF) who also have COPD according to University of California San Francisco medical record documentation and would like to participate in a home yoga intervention and hospitalization within the past 24 months.
Patients must: receive permission from their provider to participate in the study
English-speaking
Score of 3 on the Mini-Cog test
Be between the ages of 40 and 85 years
New York Heart Association Class I-III left ventricular systolic or diastolic HF
Have moderate-severe COPD defined as post bronchodilator Forced Expiratory Volume (FEV1) in 1 sec < 80% predicted, FEV1/Forced Vital Capacity ratio < 70% and history of smoking
TV, broadband internet connection, enough space to practice yoga in front of the TV, and willing to have research assistant install videoconferencing equipment.

Exclusion Criteria:

Patients with a history of medication non-compliance as described by their provider
Hospitalization within the last 3 months
Myocardial infarction or recurrent angina within the last 6 months
Severe stenotic valvular disease
History of sudden cardiac death without subsequent automatic internal defibrillator placement
Cognitive impairment
Neuromuscular, orthopedic, or psychiatric illness that would interfere with yoga training
Oxygen saturation <85% on 6 liters of nasal oxygen.