Minimal diagnostic tests required before diagnosing idiopathic ventricular fibrillation. Flowchart with all diagnostic tests for excluding potential causes of ventricular fibrillation. Coronary angiography can be replaced with non-invasive coronary imaging in young, low-risk patients. If a diagnosis is lacking after initial testing, it is considered an unexplained cardiac arrest. ECG: electrocardiogram; IVF: idiopathic ventricular fibrillation; SCA: sudden cardiac arrest. Adapted with permission from Visser et al. [3] and Wolters Kluwer Health, Inc., 2016. The Creative Commons license does not apply to this content. Use of the material in any format is prohibited without written permission from the publisher, Wolters Kluwer Health, Inc.