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I have been a Consultant Cardiologist at the Royal United Hospital (RUH) Bath since 2004 and an associate lecturer at UWE, Bristol. I qualified in 1983 from India and achieved my MD in 1988. I completed my Cardiology training in Cardiff and have a Master’s degree in Medical Law from Cardiff Law School. I am a Fellow of the Royal College of Physicians (UK) and a Fellow of the European Society of Cardiology.
I started the pulmonary hypertension service unit at RUH, a satellite service with the Royal Free Hospital, London. My specialty expertise is in echocardiography and I lead the echocardiographic services for the RUH. I have introduced new services such as dobutamine stress echocardiography and the use of 3D echocardiography. I initiated the use of micro-bubble testing for patent foramen ovale in patients with cryptogenic stroke.
I am also accredited by the 'British Society of Echocardiography' for adult Transthoracic Echocardiography and accredited by the 'European Association of Echocardiography' for adult Transoesophageal Echocardiography.
I am the senior author for the publication of Right Ventricular Dimensions published in the Journal of American Society of Echocardiography in 2012.
I play a large role in the training of registrars as well as newly appointed consultants in echocardiography and pulmonary hypertension. In addition to this, I have supervised a PhD student, conduct clinical trials, chair and teach at weekly departmental echo meetings, carry out large scale primary care audits on heart failure and organise pulmonary hypertension study days and GP study days. I was instrumental in implementing BNP testing in early detection of heart failure in primary care. As the lead for Clinical Governance (CG), I hold regular departmental CG meetings to look specifically at patient safety issues, complaints and mortality.
Areas of interest
Echocardiography; Heart failure; Pulmonary hypertension; Valvular Heart Disease, Atrial Fibrillation, Ischaemic Heart Disease; Transient loss of consciousness
Current NHS consultant posts held
Consultant Cardiologist, Royal United Hospital Bath NHS Foundation Trust
Echocardiographic assessment of the right ventricle
I enjoy flying radio-controlled model aeroplanes and helicopters as well as fly fishing. I am also a keen photographer.
Health Service Journal (HSJ) Award Finalist for the development of the heart failure services at RUH, 2014.
1) Right Ventricular Normal Measurements: Time to Index? Journal of the American Society of Echocardiography, 2012
2) Right Ventricle in pulmonary arterial hypertension: haemodynamics, structural changes, imaging and proposal of a study protocol aimed to assess remodelling and treatment effects. European Journal of Echocardiography, 2010
Courses offered to GPs
I regularly provide free GP talks at Circle Bath for BGPERT. I deliver numerous lectures on ECG, heart failure, use of novel oral anticoagulants for atrial fibrillation and echocardiographic interpretation of valvular heart disease. I undertake quality control for community echocardiography at Adcroft Surgery, Trowbridge.
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.