Incorporating Healthy Living Strategies to Aid in Recovery After Acute Pulmonary Embolism

Eligibility Criteria

• 1. English speaking (\>18 years old). Daily messages will be sent in English.
• 2. Acute PE with at least one of the following:
• 1. any right ventricular enlargement or dysfunction on echocardiogram;
• 2. CT Angiogram reporting any right ventricular enlargement; or
• 3. elevated cardiac biomarker (NT-pro BNP or troponin above baseline). Criteria for enrollment will be included on source document.
• 3. Rate controlled atrial arrythmias (resting heart rate \<110 beats/m) are eligible for enrollment. This includes atrial fibrillations. This is standard of care management for atrial fibrillation.
• 4. Subjects do need to take prescribed anticoagulation.
• 1. Pregnancy.
• 2. Cardiac Effort \>3.5 beats/m during 6MWT.
• 3. Resting tachycardia \>110 beats/m at hospital discharge.
• 4. Chronic Thromboembolic Pulmonary Hypertension
• 5. Systolic blood pressure \>180 mmHg at hospital discharge.
• 6. Inability to walk.
• 7. Estimated prognosis \<12 months at the time of discharge due to underlying co-morbidities (e.g., cancer).
• 8. Advanced neurologic disease and would not be able to comply with the messages.
• 9. Lack of access to email or text messaging 10. Inability or unwillingness to follow daily instructions.