Sorry for this.

Amiodarone might not work, but it might be worth a shot. You can exist on amio for several years, usually....depends on 'you.' What would it be worth to have six-eight years free of AF, or the palpitations you feel when in AF?

At first, walking and being active, moderately, kept AF at bay. Later, as things worsened, even getting up off the couch was iffy. AF is a progressive disorder, and I'm going to assume, without looking it up, that PVCs probably are the same. It's outside my area of reading.

I had my first episode of AF near the tail end of a maintenance 10K run. The heart is a muscle, and like all muscles, it can get cranky, or even diseased and damaged. Yours has the distinct whiff of being electrically disordered, maybe as a result of exercise, quite possibly due to myocarditis (virus?). Ablation might be out of the running for you, but if you can consult the top EP in the land, would you submit to that person? Dr. Andrea Natale at the Texas Cardiac Arrhythmia Institute in Austin is about the best there is. He'd take a look at your file and images and maybe say he could try something. It might be worth a shot, one more, and then fall back on amiodarone.