Dressler syndrome is an autoimmune phenomenon that result in fibrinous pericarditis. Fibrinous pericarditis is both an early and late complication of MI. The delayed pericarditis typically develops 2-10 weeks post MI and present clinically as chest pain and pericardial friction rub. It is generally treated with aspirin or coicosteroid. Cardiac arrythmia is a common cause of post MI death, typically occurring the first few days following the event. It is not associated with friction rub. Ventricular rupture is a serious cause of post MI death typically occurs 3-7 days after initial event. It can present with persistent chest pain, syncope and distended jugular veins.