Dr Daniel Augustine
Dr Dan Augustine is a Consultant Cardiologist at Sulis Hospital Bath.
He also practices at the Royal United Hospital Bath and is Honorary Consultant Cardiologist at the Bristol Heart Institute. He is the current national guideline lead for the British Society of Echocardiography (BSE). He has expertise in Sports cardiology / exercise prescription; general cardiology; cardiac imaging; coronary angiography and pulmonary hypertension.
He specialises in cardiovascular imaging and 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).
Dan qualified in 2002 from St Bartholomew’s and the Royal London Medical School and completed his cardiology training in the South West. He has undertaken a cardiovascular imaging research fellowship at the University of Oxford, leading to his MD degree.
Dan is the author and editor of several national and international cardiology 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
- 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)
Dan is one of the first cardiologists in the UK to have completed a Masters degree in Sports Cardiology (2019), St George's University, London (via scholarship). Dan provides expert cardiac sports advice, screening 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. This was a joint position paper from the British Society of Echocardiography and the charity Cardiac Risk In The Young.
Advanced Cardiac Imaging
Dan has rare accreditation in both advanced echocardiography (transthoracic echocardiography, transoesophageal echocardiography) and cardiac MRI. Dan is proficient in all aspects of modern echocardiography, including 3D echocardiography.
He has expertise in stress echocardiography and has led on the introduction of the exercise stress echocardiography service in Bath and the physiologist led stress echo service in 2018. Dan is also lead-author for new local guidelines on the follow up of patients with heart valve disease. These are being used within the RUH and also GP practices.
He was co-lead on the implementation of the cardiac MRI service in Bath in 2015.
Coronary Angiography and Pulmonary Hypertension
Dan undertakes diagnostic coronary angiography and is a member of the regional pulmonary hypertension team, a joint collaboration with the Royal Free Hospital, London.
As part of the pulmonary hypertension service, 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.
Cardiac arrhythmia treatment
Non-invasive cardiology treatments
Coronary artery disease treatment
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