Home Rehabilitation After Acute Pulmonary Embolism

Inclusion Criteria:

• English speaking (>18 years old). Daily messages will be sent in English.

• Acute PE with right ventricular enlargement or dysfunction defined by echocardiogramreport, CT Angiogram report, or elevated cardiac biomarker (NT-pro BNP or troponin).

• Baseline testing started within 7 days of hospital discharge.

Exclusion Criteria:

• Pregnancy.

• Cardiac Effort >2.5 beats/m during 6MWT. This is for safety.

• Cardiac Effort <1.2 beats/m during 6MWT. They are unlikely to benefit.

• Resting tachycardia >120 beats/m during screening or at hospital discharge.

• Suspicion for Chronic Thromboembolic Pulmonary Hypertension.

• Systolic blood pressure >180 mmHg during screening or at hospital discharge.

• Inability to walk.

• Estimated prognosis <12 months at the time of discharge due to underlyingco-morbidities.

• Advanced neurologic disease.

• Lack of access to email or text messaging.

• Inability to follow daily instructions.

• Participation in a structured exercise routine at least three days per week in theprior four weeks.

• Principal Investigator discretion