Clinical expertise

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

Professor Senior specialises in applying echocardiography in various clinical scenarios including valvular heart diseasecoronary artery disease and heart failure. These specialist echocardiography techniques include:

  • myocardial contrast echocardiography
  • stress echo
  • 3D/speckle tracking

Professor Roxy Senior’s particular interests are in:


Professor Roxy Senior is a consultant cardiologist at Royal Brompton and Harefield Hospitals, where he treats both NHS and private patients.

He received his master’s degree in medicine and cardiology from the University of Calcutta, India. In 1989, he joined Northwick Park Hospital, Middlesex, as a research fellow, then 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 echocardiography at Royal Brompton Hospital in September 2010.

In addition, he is a professor of clinical cardiology at the National Heart and Lung Institute (NHLI), Imperial College London.


Professor Roxy Senior has 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 the 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 Roxy Senior has published over 200 original articles in peer-reviewed journals and contributed to more than 10 textbooks.


Professor Roxy Senior regularly teaches registrars (both inside and outside Royal Brompton and Harefield hospitals) 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 been awarded the Edler Lecture by the University of Lund, Sweden, for his pioneering work in echocardiography.


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