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1. Identify and Treat Underlying Causes
   – Assess and treat any reversible causes, such as electrolyte imbalances, ischemia, or structural heart disease. In-case of TCA toxicity, metabolic acidosis needs to be treated with soda bicarbonate.
2. Stable VT (BP > 90 /60 mm Hg) –
   In cases of stable monomorphic VT, medications may be used to control the heart rate and rhythm. Antiarrhythmic drugs like amiodarone, procainamide, or sotalol may be considered. In structural heart disease Amiodarone is preferred.
3. Unstable VT/ pulseless VT –
   If the patient is unstable with signs of poor perfusion, immediate Defibrillation may be necessary to restore a normal heart rhythm.
4. ICD (Implantable Cardioverter-Defibrillator) for recurrent VT –
   In some cases, especially if there is a high risk of recurrent VT or sudden cardiac death, an implantable cardioverter-defibrillator (ICD) may be recommended. An ICD can detect and treat life-threatening arrhythmias by delivering shocks to restore a normal rhythm.
5. Catheter Ablation Therapy–
   Catheter ablation is a procedure where a catheter is used to deliver energy to the heart tissue responsible for the abnormal rhythm. This can be a curative option, especially if the VT is originating from a specific location in the heart.