Due to the COVID-19 epidemic, many cardiac rehabilitation (CR) services and programs are stopped. Because CR is a Class I level A recommendation with clinical benefits that are now well documented, the cessation of CR programs can lead to dramatic consequences in terms of public health. We proposed here a viewpoint of significant interest about the sudden need to develop remote home-based CR programs both in clinical research and in clinical care routine. This last decade, the literature on remote home-based cardiac rehabilitation programs has been increasing but to date only clinical research experiences have been implemented. Benefits are numerous and the relevance of this approach has obviously increased with the actual health emergency. The COVID-19 crisis, the important prevalence of smartphones and high speed internet during confinement should be viewed as an opportunity to promote a major shift in CR programs with the use of telemedicine to advance the health of a larger number of individuals with cardiac disease.

Elderly individuals and patients with cardiovascular diseases are particularly at risk of 45 developing severe complications. The mortality rate increases sharply with age and 46 reaches 3.6% in people aged 60, 8% in people aged 70 and 14.8% in people aged over 801, 2 47 , these data depends on the country and constantly changing. High blood pressure, type 48 II diabetes or cardiovascular diseases are the most common comorbidities in people affected by COVID-19 3, with mortality rates particularly high from 5.6% to 10.5% 1

Journal of Cardiac and Pulmonary Rehabilitation is an open access, peer-reviewed scientific journal that focuses on recent developments in various rehabilitational aspects of cardiology and pulmonology, vascular dementia, occlusive coronary atherosclerosis, hypertension, inflammatory lung disease, physiotherapy, physical exercise, congenital heart defect, carotid atherosclerosis, chronic obstructive pulmonary disease, coronary artery disease, acute coronary syndrome (ACS), angina pectoris, restrictive lung diseases, chronic obstructive pulmonary disease, lung cancer, asthma and occupational lung diseases.

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