As with many cardiac conditions, family history is a leading indicator. In other words, if you are related to someone who’s had ventricular tachycardia, you are more likely to get it. It’s also more common among people with either a pre-existing heart condition or a history of heart disease or heart failure. It can develop following a heart attack. Ventricular tachycardia has also been linked to drug abuse, particularly patients who frequently use cocaine and methamphetamines.