Recognizing the well-documented clinical benefits of CR, ACC/AHA and European guidelines strongly recommend CR after myocardial infarction and coronary revascularization and structured exercise in patients with heart failure (6,7). Despite the clinical benefits of CR, only 20% to 30% of eligible patients complete a CR program (3,6-8). The requirement that patients travel to a CR center has been cited as a barrier to CR (9). To address this challenge, centers have developed in-home CR programs and "telerehabilitation" programs, the latter employing electronic communication and/or remote monitoring as