In a lot of cardiology out-patient clinics, obvious changes include moving to distance follow-up instead of a clinic visit and also extending the length of follow-up phone calls, since many patients want to talk about COVID-19 and what it means to them. In some hospitals, the pacemaker control period is extended from bi- or tri-monthly to yearly, most angiograms and electrophysiology procedures are cancelled. ICDs are monitored using tele-monitoring systems, preventing patients from coming to hospital after receiving a shock therapy and reassuring them by telephone. It is amazing how quickly telecare and distance monitoring have become almost ‘the new normal’ and how flexible patient and healthcare professionals are in adopting these practices.1