@dey10238
Have had a ICD/Pacemaker since 2006.

I assume from your post you only have a pacemaker is that correct?

The taking of medications really has to be fine tuned to the individual by your doctors. What works for some don't for others. And side affects can affect some and for others not. I take mexiletine and has really helped with PVCs and VTACH. I also take magnesium which has helped also.

If you are going to Mayo you are probably seeing a EP and you are in good hands. A sleep study is going to test how much quality sleep you get and your oxygen. That can really affect your heart function as well as your overall physical and mental health.

Also talk to them about medications to deal with anxiety and stress if the deemed applicable to you. I really worked with my medical team and found that finding and exercise (with doctors approval) that you like doing is not only going to help with your fitness and heart but mentally help with stress and anxiety which affect heart function and things like PVCs and PACs.

Not into exercising think about a hobby. Basically doing something you like to do to help your heart fitness and mental health to reduce stress and anxiety. I see you mentioned being active. I do water aerobics 5 days a week and when I can I ride my bike and swim also. Just really enjoy doing these things and really helps me mentally dealing with stress and anxiety of having electrical problems with heart and having ICD/Pacemaker. My doctors keep advising me to keep doing my exercises.