Inclusion Criteria:  18 years of age or older Current patient in UCLA Cardiology clinics and/or cardiac rehab English speaking Able to give informed consent  Exclusion Criteria:  history of seizure facial injury preventing safe placement of headset, significant visual or hearing impairment (as defined as not able to see/hear clearly even with corrective lenses/aids). Individuals with dangerous, unstable arrhythmias (VTACH/VFIB) and/or MI in past 4 week, or individuals in acute decompensated heart failure respiratory issues, postural instability, and motion sickness