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Prof Roxy Senior

Consultant Cardiologist


Practices at: BMI The Clementine Churchill Hospital

A photo of Prof Roxy Senior

Roxy Senior is Professor of Clinical Cardiology at the National Heart and Lung Institute, Imperial College London and Consultant Cardiologist and Director of Echocardiography at the Royal Brompton Hospital, London and Northwick Park Hospital, Harrow. He was appointed as Consultant Cardiologist in 1995. He is a clinician with a major interest in echocardiography. 

He has been involved with echocardiography for the last 25 years and has published over 400 original papers in the field of Cardiology.  His particular interest is in heart failure, coronary artery and heart disease, valvular heart disease and acute coronary syndrome like myocardial infarction. He pioneered the clinical development of myocardial contrast echocardiography especially in the detection of myocardial viability and led several multicentre studies involving Contrast Stress Echocardiography and perfusion in patients with suspected and known coronary artery disease. He also pioneered the use of  stress echocardiography for early discharge of patients with suspected acute coronary syndrome and as a rapid and accurate test for the diagnosis and risk assessment of coronary artery disease. Furthermore, he has utilised hand-held echocardiography for the detection of cardiac dysfunction and assessed its cost-effectiveness in comparison to BNP for the detection of heart failure. 

He recently completed a study assessing cardiac function and carotid atherosclerosis in Indian Asian vs European Whites which may clarify the differential outcome in these two ethnic groups. He also used carotid ultrasound to improve the diagnosis and prognostication of stress Echo in suspected CAD. He is  actively involved in research in valvular heart disease and proposed the central value of transvalular flow for the assessment of aortic stenosis. Professor Senior has been awarded the “Edler Lecture” by the University of Lund, Sweden for his pioneering work in echocardiography. For his teaching, research and training he was conferred the title of Professor of Cardiology by the Imperial College London. He was awarded the Lifetime achievement award by Who’s Who and by the  WB branch of Cardiological Society of India.

He provided Core – Lab function for MRC sponsored study in Hibernating Myocardium. Professor Senior has been  on various task force committees in the American Society of Echocardiography, European Society of Cardiology and British Society of Echocardiography. He is also on the editorial board of major international cardiology journals. He has   supervised 5 PhD and 9 MD students which includes  supervision currently of 3 PhD students and 1 MD student. He published major papers in this field. Between 2013-2020 he led UK in a large multicentre international trial which was published in the top journal of medicine-New England Journal of Medicine -this was a practice changing trial.

Clinical Interests

  • The major clinical interest of Prof Senior is in coronary artery disease and coronary/ischemiac heart disease.
  • His other major interest is in heart failure and valvular heart disease.
  • His major subspeciality interest is in utilising echocardiography-ultrasound of the heart—in the detection of cardiac disease and in risk assessment of patients with cardiac disease.
  • He performs transthoracic, transesophageal and stress echocardiography
  • Has developed advanced techniques in ultrasound/echocardiography to enhance its ability to give important information for better management of patients. Ultrasound techniques are one of the safest techniques in cardiology and does not involve radiation.
  • He won several awards for developing innovative echo techniques and he is considered a world expert in this field.


Professional Memberships

  • Royal College of Physicians (UK)
  • British Cardiovascular Society (BCS)
  • European Society of Cardiology (ESC)
  • American College of Cardiology (ACC)
  • American Heart Association (AHA)
  • European Society of Cardiovascular Imaging (EACVI)
  • American Society of Echocardiography (ASE)
  • British Society of Echocardiography (BSE)

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