“…Life-threatening initial symptoms are uncommon and out-hospital cardiac arrest due to cardiac rupture has also been very rarely recorded (Akashi et al, 2004;Ohara et al, 2005). However, hemodynamic compromise may occur, related to acute complications such as ventricular tachycardia, ventricular fibrillation, severe congestive heart failure or left ventricular outflow tract obstruction (Valbusa et al, 2008;Prasad et al, 2008).…”