2nd May 2024

A 55-year-old man with no significant medical history presents with occasional palpitations, particularly during exercise.

A 55-year-old man with no significant medical history presents with occasional palpitations, particularly during exercise. A 24-hour Holter monitor reveals frequent premature ventricular contractions (PVCs), accounting for 12% of all heartbeats. There is no evidence of structural heart disease on echocardiography, and serum electrolyte levels are normal. He reports no other symptoms.

Which is the most appropriate management plan?