Imperial College London


Faculty of MedicineNational Heart & Lung Institute

Professor of Clinical Cardiology



+44 (0)20 7351 8635r.senior




Chelsea WingRoyal Brompton Campus





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 graduated and obtained Masters degree in medicine and cardiology from the University of Calcutta, India and migrated to the UK in 1989 when he joined Northwick Park Hospital as a research fellow. He became a Consultant Cardiologist and Director of Cardiac Research at the Northwick Park Hospital, Harrow in 1995.Following which he was appointed as Consultant Cardiologist and Director of Echocardiography at the Royal Bromtpon Hospital,London in 2010.

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 250 original papers in this field.  His particular interest is in heart failure, coronary artery disease,valvular heart disease and acute coronary syndrome. 

He pioneered the clinical development of myocardial contrast echocardiography especially in the detection of myocardial viability and led several multicentre studies involving Contrast Echocardiography.  He also pioneered the use of  stress echocardiography for early discharge of patients with suspected acute coronary syndrome.  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 is now actively involved in research in valvular heart disease.

Professor Senior has been awarded the “Edler Lecture” by the University of Lund for his pioneering work in echocardiography. He provided Core – Lab function for MRC sponsored study in Hibernating Myocardium.

Professor Senior is on various task force committees in the American Society of Echocardiography and European Association of Echocardiography.  He is also on the editorial board of the European Journal of Echocardiography and the Indian Heart Journal and reviewer for the Lancet, Circulation, J.of the American College of Cardiology, American Heart Journal, Heart and European Heart Journals.

He has supervised 2 PhD and 7 MD students, all of whom have been successful.



Yan J, Huang B, Tonko J, et al., 2024, Transthoracic ultrasound localization microscopy of myocardial vasculature in patients, Nature Biomedical Engineering, ISSN:2157-846X

Senior R, Khattar RS, 2024, To test or not to test for ischaemia routinely after percutaneous coronary intervention in diabetic patients: is the jury still out?, Eur Heart J, Vol:45, Pages:666-668

Bioh G, Botrous C, Senior R, 2024, Efficacy and safety of use of ultrasound enhancing agent in patients hospitalized with COVID-19., Int J Cardiovasc Imaging, Vol:40, Pages:625-632

Picano E, Pierard L, Peteiro J, et al., 2024, The clinical use of stress echocardiography in chronic coronary syndromes and beyond coronary artery disease: a clinical consensus statement from the European Association of Cardiovascular Imaging of the ESC., Eur Heart J Cardiovasc Imaging, Vol:25, Pages:e65-e90

Davis EF, Crousillat DR, Peteiro J, et al., 2024, Global Longitudinal Strain as Predictor of Inducible Ischemia in No Obstructive Coronary Artery Disease in the CIAO-ISCHEMIA Study., J Am Soc Echocardiogr, Vol:37, Pages:89-99

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