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Dr Daniel Augustine

Consultant Cardiologist



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Professional profile

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 current national guideline lead for the British Society of Echocardiography (BSE).

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.

General cardiology

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
- 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)

Cardiology subspecialty

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 lead on the introduction of the exercise stress echocardiography service in Bath.

He has co-lead on the implementation of the cardiac MRI service in Bath.

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.

Personal profile

Dan enjoys running and has undertaken a number of half marathons and the inaugural Bristol to Bath marathon. He enjoys watching and playing football as well as playing below par squash! He is married to Ellie, a consultant paediatrician at the Royal United Hospital Bath.

Current NHS or research position

Consultant Cardiologist Royal United Hospital Bath NHS Foundation Trust
Honorary Consultant Cardiologist Bristol Heart Institute

Year of first medical qualification


Special clinical interests

Echocardiography (including transthoracic, dobutamine stress echocardiography and transoesophageal echocardiography)
Cardiac MRI
Diagnostic angiography
Pulmonary hypertension
Valve disease
Assessment of breathlessness and management of heart failure
Chest pain assessment and treatment
Palpitations / arryhthmias
Altered conscious levels (blackouts or near blackouts)

Research interests


Dan has completed the certificate of medical education and became a Fellow of the Higher Education Academy. He has authored and edited cardiology textbooks and the success of these have led to Dan being commissioned by Oxford University Press to author further cardiology textbooks aimed to help European cardiology trainees through cardiology training on their way to becoming future consultants.


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


Dan is the cardiology research lead at the RUH Bath. He has undertaken a research fellowship at the John Radcliffe hospital & University of Oxford and was awarded his MD in 2014.

His research interests include the use of novel biomarkers for the assessment of cardiac disease and specialized techniques to improve cardiovascular imaging.

He has extensive peer reviewed research publications. Dan has been part of the team to see cardiovascular research increase rapidly at the RUH since 2014.

He has led on the implementation of the cardiology departments first academic national portfolio study and hopes in the future to develop local research links with primary care and the University of Bath.

Current membership(s) of professional, national and regional bodies

Member of the British Society of Echocardiography
Member of the British Society Cardiovascular Magnetic Resonance
Member of the Society of Cardiovascular Magnetic Resonance
Member of the Royal College of Physicians