Outflow Tract Ventricular Tachycardia (OTVT) is typically seen in young to middle aged people with structurally normal hearts.  These arrhythmias are triggered by emotional or stress factors and that responds to medications. Electrolyte abnormalities rarely cause ventricular arrhythmia. Gitelman’s syndrome, a rare autosomal recessive renal disorder causes hypokalemia, metabolic alkalosis and hypomagnesaemia. This disorder is often benign with mild clinical symptoms and excellent long-term prognosis. We present a case of Gitelman’s syndrome with symptomatic OTVT as initial manifestation.