Hi Dr.  I am a 63 year old retired pastor with a 14 year history of PACs (45,000 / day when 1st diagnosed and still 30,000 / day 4 years later) and bradycardia (mid to high 20s to low 30s for about 8 to 9 years).  I also had an MI (95% blockage of the LAD) and stent 6 years ago.  After a year and a half of investigation trying to determine the cause of hypotension (60/40) and a consistent heart rate in the 120 range, my cardiologist ordered a CT scan that indicates mild cerebral / cerebrellar atrophy.  A nerve conduction test last month determined there is sensorimotor poly neuropathy.  I have been plagued with dizziness over the past 14 years.  I've lost 50 pounds since my MI and have kept it off.  About a year ago, my appetite nose-dived and I dropped to 142 pounds (5' 8" tall).  Is the atrophy something I need to be concerned about is the basic question.  I have been referred to a neurologist whom I will see in late February.  I should also mention that I started to develop a slight tremor in my hands about 3 years ago, have memory issues, trouble reading and understanding.  The numbness in my feet is quickly moving up my legs.  Thanks so much for your time and kind help. Rick

Summarized question: Should i be worried about cerebral/cerebellar atrophy?