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evolving landscape cardiac rehabilitation cr adopting digital technologies including synchronousrealtime digital interventions smart applications emerged transformative approach technologies offer realtime health data access continuous vital sign monitoring personalized educational enhanced patient selfmanagement engagement despite potential benefits challenges limitations exist necessitating careful consideration synchronousrealtime digital cr involves remote twoway audiovisual communication addressing issues accessibility promoting homebased interventions smart applications extend beyond traditional healthcare providing realtime health data fostering patient empowerment wearable devices mobile apps enable continuous monitoring tracking rehabilitation outcomes facilitate lifestyle modifications crucial cardiac health maintenance digital cr progresses ensuring patient access equitable implementation addressing digital divide becomes paramount artificial intelligence holds promise early detection cardiac events tailoring patientspecific cr programs however challenges digital literacy data privacy security must addressed ensure inclusive implementation moreover shift toward digital cr raises concerns cost safety potential depersonalization therapeutic relationships transformative shift towards technologically enabled cr necessitates research focusing technological advancements also customization meet diverse patient needs overcoming challenges related cost safety data security potential depersonalization crucial widespread adoption digital cr future studies explore integrating moral values digital therapeutic relationships ensure digital cr accessible equitable seamlessly integrated routine cardiac care theoretical frameworks accommodate dynamic quality realtime monitoring feedback feature digital cr interventions considered guide intervention development