10% are asymptomatic 
History of MI or cardiac surgery
Symptoms similar to congestive heart failure
Angina
Shortness of breath
New cardiac murmur (70%)
Angina
Shortness of breath
Left ventricular pseudoaneurysm
Cardiac
Left ventricular aneurysm
ST-segment elevation myocardial infarction 
Coronary artery dissection
Post-MI 
Nontraumatic thoracic aortic dissection
Previous MI with recurrent ischemia in same area