Meyer and Leblanc Provided an Algorithm for Clinical Decision Making

Meyer and Leblanc provided an algorithm for clinical decision making for aquatic therapy intervention for patients with stable congestive heart failure and/or left ventricular dysfunction.All of the following are true in this algorithm except:

A) Patients with decompensated congestive heart failure should participate in aquatic exercise for cardiac rehabilitation.
B) Patients with left ventricular dysfunction should not rely on how they feel in the water as an indicator of tolerance for aquatic exercise.
C) Patients with congestive heart failure who tolerate sleeping supine may be able to tolerate a half-sitting position if immersion is not above the xiphoid process.
D) Patients with Q-wave myocardial infarcts should wait 6 weeks and exercise upright in a water level that does not exceed the xiphoid process.

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