In this case study a patient has been described who sustained several episodes of sudden cardiac death, most likely secondary to ventricular fibrillation. Luckily the patient was successfully resuscitated several times, but the patient was still high risk for having future spells of sudden cardiac death. The patient's cardiac arrhythmia persisted in spite of successful coronary bypass surgery and his episodes of sudden cardiac death also persisted. An electrophysiological study was done and a proper antiarrhythmic regimen was selected. The patient responded to this therapy extremely well. Up to the time of this writing the patient is symptom-free and fully active. A brief discussion of the importance of cardiac arrhythmia and it's relationship to sudden cardiac death was also reviewed. Sudden cardiac death is a challenging problem in clinical practice. A large number of people die suddenly throughout the world A case with sudden death syndrome is presented with a brief discussion about this very important problem.