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