Cardiology (heart)
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Professor Roxy Senior studied at the University of Calcutta, India, obtaining a masters degree in medicine and cardiology. He then joined Northwick Park Hospital as a research fellow in 1989, then becoming a registrar in cardiology. In 1995, he was appointed as a consultant cardiologist, then director of cardiac research in 2003. 

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

Areas of expertise

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

Professor Senior 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
  • 3D/speckle tracking.

Research interests 

Professor Senior's research interests include: 

  • valvular heart disease
  • heart failure
  • coronary artery disease
  • acute coronary syndrome.

He pioneered the clinical development of myocardial contrast echocardiography, which is a unique way to assess myocardial perfusion using echocardiography. This helps lead to safe and early detection of established coronary artery disease and myocardial viability. 

Professor Senior is widely regarded as a world expert in this field, and has led several large multicentre trials in America and Europe. He pioneered the use of stress echocardiography for early discharge of patients with suspected acute coronary syndrome. He also utilised hand-held echocardiography for detecting cardiac dysfunction, and assessed its cost effectiveness in comparison to brain natriuretic peptide detecting heart failure. 


Professor Senior regularly teaches registrars (both inside and outside the Trust), and is a lecturer at many peer medical associations. This includes the:

  • American College of Cardiology
  • American Heart Association
  • European Society of Cardiology
  • British Cardiology Society
  • American Society of Echo
  • European Association of Echo
  • British Society of Echo

He has also organised stress echo workshops at North West London trusts. 

Professor Senior has been awarded the Edler Lecturer by the University of Lund to commend his pioneering work in echocardiography. He has also provided core-lab function for a Medical Research Council sponsored study in hibernating myocardium.


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

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

He is also chairman for the Northwest London Cardiac Imaging group, and is on the editorial board for 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.

Private patient referral 

If you would like to make an appointment with this specialist for private care, contact the RB&HH Specialist care team