Primary aim is to evaluate if remote video exCR, offered as an alternative to centre-based exCR, can increase the proportion of patients post myocardial infarction (MI) successfully completing an exCR-program.

Secondary aims are to investigate if remote video exCR is at least as effective as centre-based exCR, in terms of physical fitness, patient-reported outcome measures (PROMs) and cost-effectiveness. Follow-up of cardiovascular events (all-cause mortality, cardiovascular mortality, recurrent hospitalization for acute coronary syndrome (ACS), heart failure and stroke, and repeat coronary revascularization) will be performed.

CR centers (not patients) will be cluster randomized to either the intervention or control. Patients at intervention centers will be offered remote video exCR or usual care centre-based exCR, as self-preferred choice. At control centers, patients will be offered usual care centre-based exCR only. The duration of each time period for each center will be approximately 15 months.

A number of 1500 of eligible patients post MI, meeting the inclusion and exclusion criteria over a period of approximately three years.