@rr1967
Has your PCP or EP referred you to psyhcology division? I see a PA at Mayo Jacksonville Physchology Division. She is excellent and works with my EP, PCP, and heart failure doctors.

She prescribed escitalopram which is for anxiety. It has really helped. Years ago I was getting ICD shocks. I developed severe PTSD. I was put on Xanac, and Trazodone to be able to sleep at night and the excitalopram. I have come off the Xanac and Trazodone over a year now but she wants me to stay on the escitalopram for my anxiety over the PVCs and PACs.

My heart failure, EP, PCP, and PA at phsychiatric division have all worked together with medications, life style, etc. and my (knock on wood) ICD shocks have not happened. The pace clinic has adjusted my pacemaker and is working fine along with some new medications.

There is nothing wrong with asking about mental health and other medications to help cope with PACs, and PVCs and can medication help.

I will say again that all physicians should be addressing mental health along with physical health as they interact together. Mental health and coping with high stress medical issues affects quality of life and should be just as much priority as physical health.