Abstract
We describe a world-first robotic ablation for inappropriate sinus tachycardia. A 26-year-old woman with refractory inappropriate sinus tachycardia underwent robotic-enhanced hybrid ablation, combining electrophysiological mapping with superior visualization and access compared to video-assisted thoracoscopic surgery (VATS) approaches. Ablations normalized the heart rate from 120 to 70 bpm. At one- and six-month follow-ups, she reported symptom resolution and improved quality of life. Holter monitoring confirmed no tachycardic episodes. This presents a promising alternative for patients who have exhausted conventional treatments, potentially revolutionizing inappropriate sinus tachycardia management.