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Professor Roxy Senior

Professor Roxy Senior

Consultant cardiologist, Royal Brompton

Professor of clinical cardiology,
National Heart and Lung Institute,

Imperial College London


Areas of expertise

Professor Roxy Senior is director of echocardiography at Royal Brompton Hospital, the largest echocardiography department in the UK. 

He specialises in applying echocardiography in various clinical scenarios including valvular heart disease, coronary artery disease and heart failure. These specialist echocardiography techniques include myocardial contrast echocardiography, stress echo and 3-D/speckle tracking.

Research interests and any projects

His particular interests are in valvular heart disease, heart failure, coronary artery disease and acute coronary syndrome.


Professor Senior pioneered the clinical development of myocardial contrast echocardiography  a unique way to assess myocardial perfusion by using echocardiography. This type of echo leads to the safe and early detection of coronary artery disease, including detection of established coronary artery disease and myocardial viability. He is regarded as a world expert in this field and has led several large multicentre trials in the USA and Europe.


He also pioneered the use of stress echocardiography for early discharge of patients with suspected acute coronary syndrome. 


He has utilised hand-held echocardiography for the detection of cardiac dysfunction and assessed its cost effectiveness in comparison to brain natriuretic peptide for the detection of heart failure.

Qualifications and background

Professor Senior obtained his masters degree in medicine and cardiology from the University of Calcutta, India. He joined Northwick Park Hospital as a research fellow in 1989 and then registrar in cardiology. He was appointed as a consultant cardiologist in 1995 and became director of cardiac research in 2003.


He was appointed as a consultant cardiologist and director of echo at Royal Brompton Hospital in September 2010; he was then also awarded a chair (and professorship) of clinical cardiology by Imperial College London in October 2010.


He regularly teaches registrars from both inside and outside the Trust. He is a lecturer at peer medical associations including American College of Cardiology, American Heart Association, European Society of Cardiology, British Cardiology Society, American Society of Echo, European Association of Echo and British Society of Echo and has organised stress echo workshops at Northwest London trusts.


Professor Roxy Senior has been awarded the Edler Lecture by the University of Lund for his pioneering work in echocardiography. He provided core – lab function for a Medical Research Council sponsored study in hibernating myocardium.


He is on various task force committees at the American Society of Echocardiography and European Association of Echocardiography.


He led the writing group on behalf of both the British Society of Echocardiography and the European Association of Echocardiography for recommendation papers on stress echocardiography and contrast echocardiography.


Professor Roxy Senior is the chairman for Northwest London Cardiac Imaging group and is on the editorial board of the European Journal of Echocardiography.

Published material

He has published over 200 original articles in peer reviewed journals and contributed to more than 10 textbooks.

Royal Brompton

Sydney Street,
London SW3 6NP
Tel: +44 (0)20 7352 8121