Acute attacks of short-onset ventricular tachycardia must be corrected promptly and require prompt admission to hospital. Lidocaine diluted and slowly pushed, which can be repeated if it is not effective, or cardioplegia or amiodarone diluted and slowly pushed, and maintained by intravenous drip, are preferred for pharmacological treatment. Synchronized direct current resuscitation is preferred in the presence of significant hemodynamic disturbances, while underlying cardiac disease and potassium supplementation should be actively treated. Prevention of episodes can be achieved with intravenous lidocaine drip and oral cardioplegia or amiodarone. Effective primary care and long-term potassium supplementation are helpful in the prevention of ventricular tachycardia episodes. The terminal ventricular tachycardia is a more dangerous ventricular arrhythmia that can easily induce life-threatening ventricular fibrillation. If it is frequent, radiofrequency ablation can be done. If radiofrequency ablation therapy is not effective, ICD implantation can be considered for treatment.