Abstract :Ventricular tachycardia (VT) is associated with significant morbidity and mortality. Prognosis and management is dependent on the aetiology which can range from a normal heart to inherited cardiac channelopathies to structural heart disease including ischaemic heart disease, dilated cardiomyopathy or cardiac sarcoidosis. Challenges posed by a young patient age in some pathologies and a limited cardiac reserve in others require careful assessment and consideration. This review article provides a summary overview of this large topic for cardiac and non-cardiac physicians with the aim of providing some insight into the more complex invasive management strategies undertaken by electrophysiologists in the treatment of VT.