While it is assumed that the normal heart does not predispose to serio
us arrhythmias, several conditions are now being recognized as being a
ssociated with short-lasting ventricular arrhythmias. If also becomes
clear that idiopathic VT (or repetitive monomorphic VT) sometimes exis
ts on the background of a compromised heart. Whether this dysfunction
is due to the arrhythmia or vice versa is not evident. Finally, VF occ
urs in patients who, at a first glance, have no apparent heart disease
, and it is then called idiopathic VF. These complex electrical abnorm
alities probably reflect disorders, which often are genetically determ
ined. Recognition of these syndromes, often characterized by abnormal
repolarization or a disturbed autonomic function is possible if approp
riate techniques are used.