May be asymptomatic
History of myocardial infarction
Angina
Shortness of breath or dyspnea on exertion
CHF symptoms
Mitral regurgitation murmur
S3/S4 heart sounds
More common in women than men

Heart failure (LV aneurysm steals cardiac output)
Angina (increased O2 demand)
Ventricular dysrhythmias (LV stretch/scarring)
LV thrombus (50% of time), arterial embolism (stroke)
LV rupture (rarely occurs in mature<unk>  because of dense fibrosis)
Left ventricular aneurysm
Cardiac
Left ventricular pseudoaneurysm
ST-segment elevation myocardial infarction 
Coronary artery dissection
Post-MI 
Nontraumatic thoracic aortic dissection
Previous MI with recurrent ischemia in same area