What’s the Best Exercise for High Blood Pressure? Denise Mann, MS Replay Video Aerobic exercise for heart health The message is loud and clear: Regular exercise is good for your health. But is all exercise created equal when it comes to your heart health and high blood pressure? Not necessarily, says Luke Laffin, MD, a cardiologist at Cleveland Clinic in Ohio. Aerobic exercises—such as brisk walking, jogging, or using a spin bike or elliptical trainer—are the best exercises you can do if you have high blood pressure. That's not to say that other types of exercise aren't beneficial. It's just that that aerobic activity gets your heart rate up and has the most powerful blood pressure-lowering effects, Dr. Laffin says.