Anywhere from 16% to 50% of acute pulmonary embolism (PE) survivors have residual dyspnoea (post-PE impairment) [1, 2] and consume substantial healthcare resources, despite taking effective anti-coagulation. Cardiopulmonary exercise testing has demonstrated deconditioning as a common finding [3, 4], and anxiety may fuel sedentary behaviour that prevents recovery. Rehabilitation programmes >3 months after PE are beneficial [5, 6]; however, an influx of acute PE patients would soon overwhelm facilities, even if the system only focused on higher risk patients. With the goals of improving access (by eliminating transportation), reducing costs and enabling early recovery, we developed a home exercise programme for patients discharged after intermediate- or high-risk PE [7]. Our primary goal was to assess safety, but we also measured 6-min walk distance (6MWD), actigraphy and quality of life.

尽管采取了有效的抗凝治疗，但 16% 至 50% 的急性肺栓塞 (PE) 幸存者仍存在残余呼吸困难（PE 后损伤）[1, 2]，并消耗大量医疗资源。心肺运动测试表明，身体状况不佳是一种常见现象 [3, 4]，而焦虑可能会加剧久坐行为，从而阻碍康复。 PE 后 >3 个月的康复计划是有益的 [5, 6]；然而，即使系统只关注高危患者，急性肺栓塞患者的涌入很快就会使设施不堪重负。为了改善通道（通过消除交通）、降低成本和实现早期康复，我们为中危或高危 PE 出院的患者制定了家庭锻炼计划 [7]。我们的主要目标是评估安全性，但我们还测量了 6 分钟步行距离 (6MWD)、体动记录仪和生活质量。