Chronic irregular idiopathic ventricular tachycardia with myocardial dysfunction suppressed by verapamil in an adult

We report a case of an almost permanent ventricular tachycardia that occurred in a 39-year-old man a few weeks before admission to the hospital. This arrhythmia was noticeable by its total irregularity and its association with a left ventricular dysfunction. The precise nosological frame for the arrhythmia was difficult to define. This case presented as an idiopathic left ventricular tachycardia, the features of which could be consistent with an atypical parasystole. The rapid abolition of the rhythm disturbance by oral verapamil without recurrence at 6 months resulted in normalization of the contractile function.