That must be so frustrating for you. I experienced PVC’s, PAC’s & very occasional tachycardia since my late 20’s (I am now 67). I have always been healthy & athletic in spite of these annoying arrhythmias. In Aug 2025 I went into A-fib, which led me on a journey that ultimately led me to a wonderful Electrophysiologist in San Diego, & resulted in a cardiac ablation for SVT. The ablation has significantly reduced my PVC’s & PAC’s, & hopefully also reduced my risk of future A-fib. And along with the implantation of a continuous loop recorder the ablation has allowed me to come off Eliquis, which I was told by my Cardiologist that I would be on for the rest of my life.

So with all of that said, have you seen an EP? The way it was explained to me, Cardiologists handle the heart’s “plumbing” & Electrophysiologists deal with the “wiring”. Perhaps an SVT ablation (if appropriate for you) could give you some relief of these nagging symptoms. I would highly recommend a consult with an EP.

Best of luck!