Deciding if I need a PM
Looking for some advice or wondering if anyone else has been in a similar situation. I'm a 34 y/o male, had an ablation done in May 2019 due to an atrial flutter. Two weeks after the procedure I was feeling really crummy and had a rate around 40 bpm. It went away after 48 hours, then returned two weeks later, and again went away after 48 hours. At first, EP was suggesting a PM, but I then starting going a month, then two months without an episode, so he decided to hold off. I've had some more episodes over the months (sometimes shorter and not as bad, sometimes longer) and yesterday another day of low 40s and just feeling crummy (can't concentrate, exhausted, jittery, etc).
I'm a regular runner (2-3 times a week, 3-6 miles per run). It doesn't always happen after running, but when it does happen, I've usually run the day before. At this point, EP is suggesting if it keeps happening to get a PM. He says it's really up to me when I feel it's time based on the symptoms.
Anyone have any advice? Anyone ever been stuck in this sort of in between stage where you don't absolutely need the PM, but it may be a good idea?