Dr Daniel Augustine: Cardiology
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Dr Daniel Augustine

Cardiology

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Overview

Specialises in

  • Reporting of echocardiography
  • Stress echocardiography

About me

Professional
Dr Dan Augustine is a Consultant Cardiologist at the Royal United Hospital Bath and Honorary Consultant Cardiologist at the Bristol Heart Institute. He is the national guideline lead for the British Society of Echocardiography (BSE). He has expertise in Sports cardiology / exercise prescription; general cardiology; cardiac imaging and pulmonary hypertension.
He is one of a few cardiologists in the UK accredited in advanced heart ultrasound scans (echocardiography) and cardiac MRI. In addition to imaging, Dan also specialises in invasive cardiology (diagnostic coronary angiography and pulmonary hypertension).

General cardiology
Dan is the editor of several national textbooks. This, in combination with his role for the BSE, means that he stays up-to-date with contemporary practice, using the latest evidence and guidelines. It allows Dan to give a modern and expert opinion on a wide range of cardiological presentations including:
• Chest pain
• Breathlessness
• Heart murmurs, valve disease
• Heart risk factor management (such as high cholesterol, high blood pressure)
• Heart rhythm symptoms (palpitations, atrial fibrillation)
• Episodes of altered consciousness (blackouts or near blackouts)

Sports Cardiology
Dan provides expert cardiac sports advice and assessment of symptoms to those of all abilities. He has worked with professional club and international athletes and also helps to advise those with underlying cardiac conditions (e.g. after a heart attack or those with heart failure) to improve their exercise capacity and provide tailored exercise prescription.
Dan was one of the authors of the National guidelines on the screening of sports participants, published in 2018.

Cardiology subspecialty
Advanced Cardiac Imaging
Dan is accredited in advanced echocardiography and cardiac MRI.
He has expertise in stress echocardiography.

Coronary Angiography and Pulmonary Hypertension
Dan undertakes invasive left and right heart cardiac catheters, helping to manage and treat patients with high pressures in their lung arteries. Dan was the lead author for the national guidelines on the use of heart ultrasound scans to help diagnose pulmonary hypertension, published in 2018.

Personal profile
Dan enjoys running and has undertaken the inaugural Bristol to Bath marathon in 2015 as well as the hottest London marathon on record in 2018.

Special clinical interests
Echocardiography Cardiac MRI
Sports Cardiology and exercise prescription to those with cardiac conditions
Diagnostic angiography
Pulmonary hypertension
Valve disease
Assessment of breathlessness and management of heart failure
Chest pain assessment and treatment
Hypertension
Palpitations / arrhythmias
Altered conscious levels (blackouts or near blackouts)

Research interests

Selected Publications
A guideline update for the practice of echocardiography in the cardiac screening of sports participants: a joint policy statement from the British Society of Echocardiography and Cardiac Risk In the Young. April 2018

Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography. July 2018

Echocardiography. Textbook published by Oxford University press 2014

Education
Dan has completed the certificate of medical education and became a Fellow of the Higher Education Academy.

Awards
Highly commended by British Medical Association for textbook Echocardiography, British Medical Association book awards 2014

Highly commended by British Medical Association for textbook 'MCQs for the cardiology KBA', British Medical Association book awards 2015

Research
Dan has undertaken a research fellowship at the John Radcliffe hospital & University of Oxford where he was awarded his MD. He is the research lead at the RUH.

Areas of interest

Cardiac imaging (echocardiography and cardiac MRI); Valvular heart disease;
Heart failure; hypertension; chest pain assessment; angiography; sports cardiology; exercise prescription; right heart catheterisation; palpitations.

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About me
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