@tlaun44
I was told by my primary care doctor that when you lie down on back, or either side your organs move and your heart beat is felt more.

It means that your PVCs, PACs, and VTAC will be felt more than when you are standing up.

For a while when mine was so bad I slept in a propped up seating position on my bed until heart calmed down. I did not feel the PACs, PVCs, and tachycardia and thus was able to get some sleep even though not much.

To add to all of this you say at work you don't feel it as much. What I am told by my doctors is that your mind is not on heart focus when working, exercising, hobbies, etc. thus you are not going to feel the arrythmia like you do when trying to go to sleep or at rest.

Then at rest you are in heart focus which causes more anxiety and stress and thus the fight or flight reaction body has which will create more PVCs and PACs.

I am on some great medications and as I type this (knocking on wood) my PVCs, and PACs, and VTAC have dramatically been reduced. And I am trying to not be heart focused.