Introduction: Ventricular tachycardia is a major cardiological emergency that rarely occurs in healthy hearts. The aim of this study is to present a clinical case of ventricular tachycardia in a healthy heart and the current data in the African literature. Clinical observation: The patient was a 23-year-old housewife with no known cardiovascular risk factors. She presented with intermittent, regular, rhythmic palpitations that had been present for more than 4 months. The physical examination revealed tachycardia at 200 beats per minute, blood pressure 127/82 mmHg, and the rest of the physical examination was normal. The electrocardiogram showed regular tachycardia with wide QRS (128 ms duration), atrioventricular dissociation and a ventricular rate of 204 cycles per minute, suggestive of ventricular tachycardia. Doppler echocardiography was normal. We accepted the diagnosis of well-tolerated sustained VT in a healthy heart. A loading dose of amiodarone (30mg/kg) resulted in complete cardioversion with a return to sinus rhythm after six hours. Subsequent outcome was favourable. Conclusion: Through this observation, we have deciphered a case of ventricular tachycardia in a healthy heart. In the literature, the major symptom of this pathology remains palpitations and management requires antiarrhythmic drugs or ablation.