Barry A. Franklin, Ph.D., chair of the writing committee for the Scientific Statement “Exercise-Related Acute Cardiovascular Events and Potential Deleterious Adaptations Following Long-Term Exercise Training: Placing the Risks Into Perspective–An Update from the American Heart Association, (February 2020), director of preventive cardiology and cardiac rehabilitation at Beaumont Health in Royal Oak, Michigan, and professor of internal medicine at Oakland University William Beaumont School of Medicine in Rochester, Michigan. Offering perspective on AHA Scientific Sessions 2020 Presentations P2365 and P664 copyright American Heart Association 2020 "I think the beauty of the telemedicine, the virtual visits is you're usually talking one-on-one with a cardiologist or a nurse clinician and that's why in that Tokyo study, they actually found better quality of life with a remote versus outpatient cardiac rehab where they may have one staff member to 10 individuals. So I think it revealed some distinct advantages in terms of a couple aspects of cardiac rehab that is education that is counseling that said neither of those recent studies really highlighted some of the specifics that I, as a clinician look for, what's happened to risk factors? How much are they exercising? Are they staying within their target heart rate range? Are they experiencing any signs and symptoms that we ought to be aware of? That we should notify the referring physician, providing those valuable surveillance data by seeing the patient, by measuring their blood pressures and so on and so forth. We also didn't get from those two abstracts clear information on diet and smoking on nutrition on how much exercise they were doing so it left a lot of gaps, I think to your point that is the hybrid model where we're seeing them partially and we're doing some of the teaching or counseling virtually is really the idea for the future."