Idiopathic ventricular tachycardia arising from the right ventricular apex

Idiopathic, focal ventricular tachycardia that originates from the right ventricular apex is presented. Arrhythmogenic ventricular dysplasia needs to be ruling out prior to making this diagnosis. This is a rare entity that can be cured with an ablation and therefore it needs to be considered in the differential diagnosis of idiopathic VTs before implanting a defibrillator.