We are testing two novel CVD risk reduction interventions for providing tailored disease-management support for patients who recently had a MI. The first intervention will utilize home BP monitors for all in this intervention arm, an interactive web-based tool based on Microsoft's HealthVault technology (for data transmission, tracking and communication), and nurse telephone disease-management to expand CVD risk management beyond the walls of the hospital and clinics. This intervention builds on our prior extensive experience in hypertension management including randomized interventional evaluation in over 2000 patients. This proven approach is now being enhanced with novel technology and a broader application namely secondary prevention. Combined, it has the potential to enhance post MI access, and quality of care, and ultimately, to improve patient outcomes. The second intervention, similar to the other invention arm, will utilize home BP monitors the same interactive web-based tool based on Microsoft's HealthVault technology (for data transmission, tracking, and communication), however, the second intervention arm will include a web-based disease-management to expand CVD risk management. Thus, the two intervention arms will be similar with the difference being whether individuals receive feedback from a nurse using a tailored behavioral telephone based intervention or use a tailored web-based intervention without direct communication with a nurse. The two arms will allow us to test the clinical impact and cost of using a tailored web-intervention as compared to having nurses implement a tailored intervention.