Inclusion  18-70 years old PVCs that cause moderate to severe symptoms and leads to significant distress or interferes with daily life. Optimal medical treatment in the opinion of the treating physician. Able to read and write in Swedish.  Exclusion  Structural heart disease including previous myocardial infarction, heart failure with preserved or reduced left ventricular ejection fraction, valvular disease, previous cardiac surgery. Other arrhythmia or severe medical illness; Scheduled for ablation therapy or any other cardiovascular intervention Any medical restriction to physical exercise. Severe depression or risk of suicide; Alcohol dependency.  All patients will undergo thorough cardiological and psychological assessment to ensure that eligibility criteria are met.