Professor Dan Augustine is a consultant cardiologist at Bath Clinic. He also practices at the Royal United Hospital Bath and is an Honorary Professor at the University of Bath. He qualified in 2002 from St Bartholomew’s and the Royal London Medical School and completed his cardiology training in the South West of England. Dan has undertaken a cardiovascular imaging research fellowship at the University of Oxford and gained a MD(Res). He has a specialty expertise in cardiac imaging (echocardiography and cardiac MRI), general cardiology, and sports cardiology.

Dan is the President of the British Society of Echocardiography (BSE), starting his term in October 2023. Dan has held national roles within the (BSE). This has included being the lead for several national guidelines implemented into NHS trusts.

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, and high blood pressure)
• Heart rhythm symptoms (palpitations, atrial fibrillation)
• Episodes of altered consciousness (blackouts or near blackouts)

Cardiac Imaging

Dan has expertise in echocardiography (heart ultrasound scans) and cardiac MRI. Dan is the lead for echocardiography at the RUH Bath and under his leadership, the department was awarded national departmental accreditation by the BSE for all forms of echocardiography in November 2022. Dan is proficient in all aspects of modern echocardiography, including 3D echocardiography.

He has expertise in stress echocardiography and has led the introduction of the exercise stress echocardiography service in Bath. Dan has been part of the author group author for a number of national echocardiography guidelines which have been implemented into NHS practice since 2018.

Sports cardiology

Dan is one of the first cardiologists in the UK to have completed a Master's degree in Sports Cardiology (2019), at St George's University, London (via scholarship). Dan provides expert cardiac sports advice, screening, and assessment of symptoms to those of all abilities. He currently works with many local sports teams including as a cardiologist for Bath Rugby and Bristol Rugby. Nationally, he is one of the 12 cardiologists on the Football Association Advisory Panel. He has worked with lots of 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 prescriptions.

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'.

Clinical Interests

• Echocardiography (including transthoracic, dobutamine stress echocardiography and transoesophageal 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
• Palpitations / arrhythmias
• Hypertension
• Altered conscious levels (blackouts or near blackouts)

• British Society Cardiovascular Magnetic Resonance
• Society of Cardiovascular Magnetic Resonance
• British Society of Echocardiography
• Royal College of Physicians