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Related video: What is inappropriate sinus tachycardia? • What is inappropriate sinus tachycardia? Surgical and radiofrequency ablations for drug refractory inappropriate sinus tachycardia have been hitherto not very satisfactory, though various approaches have been tried. Sinus node sparing hybrid thoracoscopic ablation was described as a novel approach in 2019 for both IST and postural orthostatic tachycardia. Video assisted thoracoscopic ablation was performed through 5 mm ports from the right side. Sinus node was identified with concomitant endocardial 3D mapping. A radiofrequency bipolar clamp was utilized for isolation of both superior and inferior vena cava and a crista terminalis line was made, with sparing of sinus node. All lines were interconnected.