Sudden cardiac death is one of the major challenges in cardiology. In
the last years, antiarrhythmic therapy is in a state of considerable f
lux. There is a tendency to a stronger indication for antiarrhythmic t
herapy, to a decreasing importance of the fast sodium-channel blockers
, to an increasing importance of the class III agents and to nonpharma
cological approaches in high risk patients (ICD).