Living with Mitral Valve Prolapse (MVP) requires means being more careful with your lifestyle. Since MVP affects your heart’s ability to pump blood, you are prone to symptoms such as dizziness, palpitations, irregular heartbeats, shortness of breath, cold sweat, and swelling on feet or hands. If left untreated, this disease may cause problems such as heart failure or stroke.

Aside for avoiding certain foods that can trigger symptoms, exercise is one of the keys to living healthily. However, with the limited ability of your heart due to Mitral Valve Prolapse, several exercises are not recommended.

Here are 11 exercises you may want to avoid (or reduce in intensity) if you have MVP.

1. Weightlifting

Mitral Valve Prolapse and Weightlifting
Mitral Valve Prolapse and Weightlifting

Why weightlifting should be avoided by people with Mitral Valve Prolapse?

Because movement during weightlifting constitutes a Valsalva maneuver (stimulation of the sinus of valsalva by straining), which can lead you to faint with consequent injury coincident with falling down.

2. Resistance training

Resistance training, especially the one that includes weights, is not recommended for Mitral Valve Prolapse sufferers. This is because the exercise can strain the heart and increase blood pressure, which is not ideal for your MVP. Such exercise will also put extra pressure on the heart’s valves and chambers, triggering unwanted symptoms.

3. Long-distance running

Long-distance running running is not recommended for people with MVP
Long-distance running running is not recommended for people with MVP

Long-distance running, such as 5k or cross-country marathon, is not recommended for people with MVP. This running type requires stamina and strength to cover the distance, which puts too much pressure on the heart.

4. Pushups and sit-ups

Never try doing pushups if you have MVP
Never try doing pushups if you have MVP

These classic exercises are not ideal for people with MVP. They require intense straining on the muscles and heart-pumping ability.

5. Plyometric exercises

Plyometrics, which involve a series of high-impact and intense exercises, are not ideal for people with MVP. The fast-paced and intense nature puts strains on the heart, which can trigger the symptoms and drain stamina more quickly.

6. Rope jumping

Rope jumping is similar to plyometrics: an intense but straightforward exercise that puts a strain on your heart. Unlike running, it is difficult to control the intensity level of rope jumping, since you need to build momentum and certain speed to jump over the rope.

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7. Aerobics or Zumba

Aerobics, Zumba, and other music-based intense workouts put a strain on your heart and muscles. If you have MVP, following these intense exercises can make you short of breath more easily. Dizziness and slight pain in the chest are also common among people with MVP who join an aerobics class.

8. Basketball, soccer, volleyball

Playing basket is fun but is better not to if you have MVP
Playing basket is fun but is better not to if you have MVP

Sports like basketball, football, soccer, volleyball are considered high-intensity sport that is not recommended for people with Mitral Valve Prolapse.

These ball exercises put heavy strain on your heart because they require many quick reactions, sudden movements, and a lot jumping or running. If you do one of these sports for a long time while having MVP, there are risks of collapse or sudden heart failure.

9. Squat thrusting

Squat thrusting (burpees) is a full-body exercise that involves three major movements: planking, jumping into squatting position, and standing up. The moves are repeated over and over to train the shoulders, arms, glutes, and abs. However, squat thrusting is not recommended for people with MVP because of its intensity.

Note: some professional trainers even criticize this training for general people, because it puts too many strains on the least developed part of the shoulders.

10. Any off-road sports with vehicles

Off-road biking, cycling, and racing are not recommended for people with MVP or other heart conditions. They are intense and can put pressure on the heart whenever surprising or stressful situations come up.

Also, unlike off-road car racing (which often pairs the driver with a navigator), biking or cycling is an individual sport. If your heart experiences a problem, you can get injured.

11. Hiking/mountain climbing

Hiking or mountain climbing is intense and unsuitable for people with heart conditions. Aside from putting strains on your muscles and heart, this outdoor sport often makes you exposed with cold air and extreme weather.

Recommended Exercises for People with Mitral Valve Prolapse

Walking is always recommended for people with MVP
Walking is always recommended for people with MVP

Just because you have MVP, does not mean that you cannot exercise. The key is to choose sports that present mild pressure, with low resistance level and opportunity to get rest when necessary. Examples are:

1. Walking

Walking is cheap, easy, and can be done anytime. All you need is a pair of good shoes, a heartbeat counter, distance counter (if you want to track the progress), comfortable clothes, and water. To make it more intense without being overwhelming, do fast-walking with proper position.

2. Swimming

Swimming does not put too much strain on your muscles because water supports you. Choose a moderate level by keeping the duration to 30 minutes at most.

2. Slow cycling

Cycling is a nice sport for people with MVP, as long as you do it on the flat route with proper safety gear. Do not exceed 20 or 30 minutes per session.

3. Yoga for relaxation

Yoga is slow-paced, so it is great for people with MVP. When looking for a yoga program, choose the one that focuses on flexibility and relaxation instead of calorie-burning or stamina.


The safest way to do exercises when having Mitral Valve Prolapse is to know your limit. Stop whenever you feel symptoms such as lightheadedness, dizziness, palpitations, and difficulty breathing.

Check your pulse after every 15 minutes, you might want to invest in the good fitness app and of course a smartwatch such as Apple Watch, Fitbit etc.

Recommended smartwatch and fitness tracker to monitor your heart rate
Apple Watch Series 4
Tons of features to monitor your health. Very recommended.
Check on Amazon
Fitbit Inspire
Value for money, enough said.
Check on Amazon
Garmin Vívoactive 3
Features are a bit overkill, but it's a nice one to have.
Check on Amazon

When introducing a new exercise, or continuing the session after a long absence, make sure to start slow.