That means that healthcare professionals make the decision on a case-by-case basis depending on the underlying risk of fatal complications and the ability to prevent these events. The AHA recommends that individuals at increased risk should not participate in strenuous activities if it is not possible to provide effective treatment for the underlying heart abnormality. While there is no definitive recommendation, experts generally consider moderate-intensity physical activity to be safe for people with heart abnormalities and believe that it may help maintain overall heart health.