Introduction: BBRVT is a type of ventricular tachycardia that occurs when there is a re-entrant circuit involving the His-Purkinje system and the bundle branches. The condition is characterized by a rapid heart rate (200–300 beats/min), and can lead to symptoms such as palpitations, dizziness, and syncope. BBRVT is often associated with underlying structural heart disease, such as cardiomyopathy, but can also occur in individuals with structurally normal hearts. We present a case of a 20-year-old male with exercise-induced palpitations and syncope, who was found to have sustained VT due bundle re-entrant tachycardia in the absence of overt structural heart disease.
