Inclusion Criteria:  sixty non hospitalized negative post covid-19 men cigarette smokers 40-60 years old stage II Hypertensive (160-179 / 100-109 mmHg) Oxygen saturation less than 94% Severity of disease (Moderate Covid-19 affection) Body mass index (BMI) ranged from 25 to 29.9 kg/m2 hemodynamically stable at least 4 weeks since first COVID-19 swab at time of screening  Exclusion Criteria:  Patients with red flag indicators as chest pain, critical drop of oxygen saturation which require oxygen supply, severe level of hypoxia (blue lips) Unconscious patient Positive covid-19 patients Patients with cognitive impairment End-stage of chronic diseases BMI more than 30 kg/m2 History of other cardiovascular disease as coronary artery disease, valvular heart disease, cardiac arrhythmias, congestive heart failure, myocardial infarction, stroke, transient ischemic attack, or peripheral vascular disease Neurological, neuromuscular, and musculoskeletal limitations Current active infection Developmental disability or cognitive impairment that in the opinion of the investigator would preclude adequate comprehension of the informed consent form and/or ability to record the necessary study measurements. Participation in a clinical study or other type of research in the past 30 days