A young AHA class I patient adult attended the Emergency Medicine Department of a Tertiary care center in a shocked state. This patient body mass index was twenty5. He did not have any family history of heart disease.4 The patient also did not have any history of smoking, diabetes and hypertension.13,14 Idiopathic Ventricular tachycardia is common cause of morbidity in young patients where we do not encounter any structural heart problem1   The patient did not give any history of covid infection and he was vaccinated for covid.(2,3)  The patient attended the triage of a tertiary care hospital Emergency Department. He came walking to the hospital with complains of ghabhrahat and uneasiness. His peripheral pulses were not palpable. He was immediately made to lie down on a trolley and his ECG was done. His ECG Showed monomorphic Ventricular tachycardia. Patients of cardiac  arrthymias attend the emergency departments quite frequently.6   The patient’s Blood pressure was not recordable and his carotids were feeble. Therefore, the option of cardioversion with drugs was not possible. Patient was cardioverted by electrical cardioversion and revived immediately. Increasing number of patients who survive the first attack of, arrhythmia if not started with anti-arrhythmic medication may develop life threatening fatal arrhythmia subsequently.There is now substantial evidence to support the wider use of implantable cardioverter-defibrillator devices as primary treatment in some patients with serious ventricular arrhythmia7.