In case you missed my commnet on another thread, I was in much the same state as you in 2024 - PVcs and PACs at ahigh level - 20 to 30% of beats and feeling Afib symptoms My EP gave me the same message - PACs and PVCs are no big issue, everyone has them. Well not to the level I had. So he offered to put me on Multaq an antiarrythmic drug. But I'm opposed to antiarryhthmics because of side effects and the fact they are famous for losing their effectiveness with time. He also offered another ablation. First one in 2017. Then in passing he recommended that I raise my TSH level (Thyroid Stimulating Hormone) as my TSh was less than 1.0. (I take levothyroxine daily as my cancerous thyroid was surgically removed 35yrs ago). it tooks a few weeks for the TSH to increase but after it reached about 5.0, the PAC/PVCs went away. I repeated the test and same result. then I visited Dr Google and found there is a recognized link between hyperthyroidism and arrythmias. By the way if you don't have a smartwatch that can record your heart rhythm, you're flying blind. Holter monitors are OK but inconvenient and temporary - watches are better. I've owned both Samsung Galaxy as well as Iwatch. I've also used a device from Kardia but I prefer the Iwatch. There's also at least one implantable devcie - Medtronic Link which can record 24/7 for several years. More expensive and needs medical folks to install but appears to be the best solution for someone wishing for continuous monitoring - I have no experiene with Link. The Iwatch is reported to be highly accurate in Identifying Afib/Flutter however it fails to differentiate between PVC/PAC and Afib so in 2024 my watch was continually reporting that I was in AFib which prompted my EP visit only for him to say that the watch was wrong, (There's an online service, QALY, that for a fee will interpret your smart watch traces. ) My experience may be separate from mine but if you haven't chased this rabbit hole yet im recommend doing so. I also recommend "The AFIB Cure" by Bunch and Day which has many lifestyle change recommendations to reduce arrythmias.