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Dr Dhiraj Gupta MBBS, MD, DM, FRCP (UK) Date of Birth 08 October 1970 Sex Male Nationality British Telephone 01516001793 (Office) Email [email protected] GMC 5205561 (Full Registration) Current Appointments March 2007 till date Consultant Cardiologist / Electrophysiologist The Liverpool Heart and Chest Hospital July 2011 till date Honorary Senior Lecturer, Imperial College, London June 2012 till date Clinical Lead and Co-founder, Primary Care AF service Nov 2014 till date Medical Advisor, Atrial Fibrillation Association UK Aug 2015 till date Head, Arrhythmia Working Group, ICMS Oct 2015 till date Member of Council, British Heart Rhythm Society Nov 2015 till date Honorary Senior Lecturer, University of Liverpool Oct 2014 till date Member of Scientific Program Committee, HRC Brief Profile I am a consultant cardiologist/ electrophysiologist at the Liverpool Heart and Chest Hospital (LHCH) since 2007. LHCH provides a regional electrophysiology (EP) service to a population of 2.8 million, and is the largest cardiac centre in the United Kingdom. I am a very high volume operator in interventional EP, and have performed over 200 ablation cases annually since 2009. I am the trust lead for Left Atrial Appendage Occluder Service, and our hospital is one of 10 sites selected nationally by the NHS England as part of the Commissioning through Evaluation (CtE) program. I have been awarded NHS Clinical Excellence Awards in 2010, 2014 and 2015. I have earned repute for my expertise in treating patients suffering from Atrial Fibrillation (AF), and I work closely with the British Heart Foundation to provide education and training to their staff nationally. I am also member of the Medical Advisory Committee of the national charity, AF Association. I have held the position of Honorary Senior Lecturer at Imperial College London since 2011. I am the primary supervisor for two MD (res) students at Imperial, and also assess the progress of other Imperial Students working towards higher research degrees. I have also examined PhD and MD (res) candidates for Queen Mary University London. Dhiraj Gupta Dec 2015 I am the Chief Investigator for three multi-centre trials (PRESSURE, SMANPAF, and PRAISE), and have been successful in obtaining over £1.5 million in competitive research grants. In addition to my roles as an interventional EP cardiologist and researcher, I have forged strong links with primary care. In 2012 I designed and developed the Primary Care Atrial Fibrillation (PCAF) service to improve stroke prevention, and this service has won several national awards for innovation and impact. I have been elected to the Council of British Heart Rhythm Society in Oct 2015 for a term of three years, and as a council member I help shape national guidelines and policies related to arrhythmia care. Awards and Honours October 2014: Arrhythmia Alliance Excellence in Practice Award for ‘Outstanding Individual who has contributed to Arrhythmia Services in the United Kingdom’ awarded at Heart Rhythm Congress, Birmingham October 2014: My research fellow won the Young Investigator Award in the clinical category at the Heart Rhythm Congress, Birmingham Sep 2014: PCAF service won the Quality in Care winner of the ‘Anticoagulation Innovation of the Year Award’ at British Medical Association House, London June 2014: PCAF service was the winner of the ‘Innovation in Cardiac Pathways’ competition at the British Cardiac Society Sessions, Manchester June 2013: My research fellow won the Highest Ranking abstract in the Heart Rhythm Category at the British Cardiac Society Sessions, London Nov 2014: I have been invited to speak at the All Parliamentary Group on Atrial Fibrillation meeting at Westminster to share our experiences of engaging with primary care through the PCAF service Previous Appointments Oct 2004- Feb 07 Clinical Fellow in Electrophysiology St. Bartholomews Hospital, West Smithfield, London Oct ’03 –Sep ’04 Specialist Registrar in Cardiology St. Bartholomews Hospital, West Smithfield, London Jan ’03-Sep ’03 Specialist Registrar in Cardiology Royal London Hospital, Whitechapel, London Oct ’01- Dec ’02 Specialist Registrar in Cardiology London Chest Hospital, London Oct ’00-Sep ’01 Clinical fellow in cardiac electrophysiology St. George’s Hospital Medical School, London July ’97- Jun ’00 Registrar in cardiology and DM fellow 2 Dhiraj Gupta Dec 2015 All India Institute of Medical Sciences, New Delhi July ’94- Jun ’97 Senior House Officer, Internal Medicine & MD fellow Post Graduate Institute of Medical Education & Research, Chandigarh, India Academic Qualifications April 1994 MB BS (Bachelor of Medicine and Bachelor of Surgery) Moti Lal Nehru Medical College, Allahabad, India June 1997 MD (Doctor of Medicine) in Internal Medicine Post Graduate Institute of Medical Education & Research, Chandigarh, India June 2000 DM (Doctorate in Medicine) in Cardiology All India Institute of Medical Sciences, New Delhi, India July 2001 MRCP (UK) Royal College of Physicians, London October 2006 CCT (Cardiology) Joint Committee for Higher Medical Training (JCHMT), UK May 2012 FRCP (UK) Royal College of Physicians, London Research Supervision, Review and Examiner Roles July 2013-current: Imperial College, London – Primary Supervisor for MD (res) Dr M Das Jul 2011–Jun 2013: Imperial College, London –Primary Supervisor for MD (res) Dr G Wynn 2011-13: Supervision of 5 Nuffield Bursary Students 2012-14: Early and Late Stage Review for Imperial College, London-PhD Dr S Panniker 2015: External Examiner for PhD for Queen Mary University, London. Dr W Ullah Competitive Grants Obtained 2015 $385,950 from IIS, Biosense Webster, CA, USA for ‘Pulmonary Vein Reconnection Following Ablation Index-Guided Ablation: a Success Evaluation (PRAISE)’, IIS-385 2014 £1.24 million from NIHR, Awarded for the two-centre Catheter ablation and Surgical ablation for Atrial Fibrillation (CASA AF trial), with Dr Tom Wong as the Chief Investigator 2014 £36,500 from IIS, Biosense Webster, CA, USA for The value of Ablation index to predict sites of acute Pulmonary Vein Reconnection following ablation for Atrial Fibrillation: Chief Investigator 3 Dhiraj Gupta Dec 2015 2013 £260,280 from IIS, Biosense Webster, CA, USA for PRESSURE study (IIS-239), as Chief Investigator 2013 £50,000 from Sir Halley Stewart Trust, for appointment of Patient Centred Arrhythmia Research Nurse 2013 £4985 for LHCH Pump Priming fund: “Patient Controlled Analgesia in PVI: feasibility study” 2012 till date £30 000 per year from Biosense Webster Educational Grant UKEG00328, for LHCH EP clinical fellow Full Publications 1. M Das, L Panter, G Wynn, N Connor, J Mills, P Kirchhof, D Gupta. Primary Care Atrial Fibrillation (PCAF) Service: Outcomes from Consultant-led anticoagulation assessment clinics in the Primary Care setting. BMJ Open 2015;5:e009267 doi:10.1136/bmjopen-2015-009267 2. GJ Wynn, S Panniker, MCS Hall, RL Snowdon. JEP Waktare, V Markides, W Hussain, J Jarman, DM Todd, T Wong, D Gupta. Biatrial linear ablation in sustained non-permanent AF: Results of the Substrate Modification with Ablation and antiarrhythmic drugs in Non-Permanent Atrial Fibrillation Trial. Heart Rhythm doi:10.1016/j.hrthm.2015.10.006 3. M Das, GJ Wynn, M Morgan, B Lodge, JEP Waktare, DM Todd, MCS Hall, RL Snowdon, S Modi, D Gupta. Recurrence of Atrial Tachyarrhythmia during the Second Month of the Blanking Period Predicts More Extensive Pulmonary Vein Reconnection at Repeat Electrophysiology Study. Circ Arrhythm Electrophysiol 2015: 8: 846-52 4. GJ Wynn, M Das, LJ Bonnett, MCS Hall, RL Snowdon. JEP Waktare, S Modi, DM Todd, D Gupta. A novel marker to predict early recurrence after atrial fibrillation ablation: The Ablation Effectiveness Quotient. J Cardiovasc Electrophysiol 2015; 26: 397-403 5. Cardiac Arrest in athletes and resuscitation. PB Bapat, A Bapat, D Gupta. J Intensive Care Soc 2015; 16: 85-86 6. Relationship between Contact Force Sensing Technology and Medium Term Outcome of Atrial Fibrillation Ablation: A Multicenter Study of 600 Patients. Jarman JW, Panikker S, Das M, Wynn GJ, Ullah W, Kontogeorgis A, Haldar SK, Patel PJ, Hussain WJ, Markides V, Gupta D, Schilling RJ, Wong T. J Cardiovasc Electrophysiol 2015; 26: 378-84 7. Wynn GJ, Das M, Bonnett LJ, Gupta D. Quality-of-life benefits of catheter ablation of persistent atrial fibrillation: a reanalysis of data from the SARA study. Europace. 2015;17: 222-4 8. Wynn GJ, Das M, Bonnett LJ, Panikker S, Wong T, Gupta D. Efficacy of Catheter Ablation for Persistent Atrial Fibrillation: A Systematic Review and Meta-Analysis of Evidence from Randomised and Non-Randomised Controlled Trials. Circ Arrhythm Electrophysiol. 2014; 7: 841-52 9. GJ Wynn, I Haq, J Hung, LJ Bonnett, G Lewis, M Webber, JEP Waktare, S Modi, RL Snowdon, MCS Hall, DM Todd, D Gupta. Improving safety in catheter ablation 4 Dhiraj Gupta Dec 2015 for atrial fibrillation: a prospective study of the use of ultrasound to guide vascular access. J Cardiovasc Electrophysiol. 2014; 25(7): 680-5 10. GJ Wynn, DM Todd, M Webber, LJ Bonnett, J McShane, P Kirchhof, D Gupta. The European Heart Rhythm Association Symptom Classification for Atrial Fibrillation: Validation and Improvement through a Simple Modification. Europace 2014;16(7):965-72 11. Wynn GJ, Das M, Gupta D. Re: Caution over use of catheter ablation for atrial fibrillation. BMJ 2013. http://www.bmj.com/content/347/bmj.f5277/rr/662301 12. Haldar S, Jarman JWE, Panikker S, Jones DG, Salukhe T, Gupta D, Wynn G, Hussain W, Markides V, Wong T. Contact force sensing technology identifies sites of inadequate contact and reduces acute pulmonary vein reconnection: A prospective case control study. Int J Cardiol 2013;168: 1160-6 13. R Liew, V Baker, L Richmond, K Rajappan, D Gupta, M Finlay, G Thomas, S Harris, M Earley, S Sporton, R Schilling. A randomised controlled trial of conventional catheter ablation with a novel minimal catheter approach for regular supraventricular tachycardia. Europace 2009; 11(8):1057-64 14. Showkathali R, Earley MJ, Gupta D, Alzetani M, Harris S, Kistler PM, Sporton SC, Schilling RJ. Current case mix and results of catheter ablation of regular supraventricular tachycardia: are we giving unrealistic expectations to patients? Europace 2007;9(11):1064-1068 15. Liew R, Rajappan K, Gupta D, Kistler P, Schilling R. Percutaneous epicardial ablation reverses ventricular tachycardia mediated cardiomyopathy. J Interv Card Electrophysiol. 2007;18(3):265-7 16. D Gupta, RK Al-Lamee, MJ Earley, PM Kistler, SJ Harris, AW Nathan, SC Sporton, RJ Schilling. Cryoablation compared with radiofrequency ablation for atrioventricular nodal reentrant tachycardia: analysis of factors contributing to acute and follow up outcome. Europace. 2006;8(12):1022-6 17. D Gupta, MJ Earley, GA Haywood, L Richmond, M Haywood, P Kojodjojo, SC Sporton, NS Peters, P Broadhurst, RJ Schilling Can atrial fibrillation with a coarse electrocardiographic appearance be treated with catheter ablation of the tricuspid valve-inferior vena cava isthmus? Heart. 2007;93(6):688-93 18. PM Kistler, K Rajappan, D Gupta, M Jahangir, MJ Earley, S Harris, D Abrams, R Liew, S Ellis, SC Sporton. RJ Schilling. The impact of CT integration into an electroanatomic mapping system on clinical outcomes of atrial fibrillation. J Cardiovasc Electrophysiol. 2006;17(10):1093-101 19. MJ Earley, R Showkathali, M Alzetani, PM Kistler, D Gupta, DJ Abrams, JA Horrocks , SJ Harris, SC Sporton, RJ Schilling. Radiofrequency ablation of arrhythmias guided by non-fluoroscopic catheter location: a prospective randomized trial. Eur Heart J. 2006;27(10):1223-9. 20. S Vallapuri, D Gupta, KK Talwar, M Billie, MC Mehta, AP Morise, A Jain. Comparison of atherosclerotic risk factors in Asian Indian and American caucasian patients with angiographic coronary artery disease. Am J Cardiol 2002; 90: 11471150 21. D Gupta, A Saxena, SS Kothari, R Juneja. Factors influencing late course of residual valvular and infundibular gradients following pulmonary valve balloon dilatation. Int J Cardiol 2001; 79 (2-3): 143-9. 5 Dhiraj Gupta Dec 2015 22. D Gupta, A Saxena, SS Kothari, R Juneja, M Rajani, S Sharma, P Venugopal. Detection of coronary anomalies in Tetralogy of Fallot using a specific angiographic protocol. Am J Cardiol 2001; 87: 241-44. 23. D Gupta, Kothari SS, Bahl VK, Goswami KC, Talwar KK, Manchanda SC, Venugopal P. Thrombolytic therapy for prosthetic valve thrombosis: short and long term results. Am Heart J 2000; 140 (6): 906-16. 24. D Gupta, Chawla YK, Dhiman RK, Suri S, Dilawari JB. Clinical significance of patent paraumbilical vein in patients with liver cirrhosis. Digestive Diseases and Sciences 2000; 45(9): 1861-4. RECENT CONFERENCE ABSTRACTS (PAST 12 MONTHS ONLY) 1. GJ Wynn, S Panikker, M Morgan, M Hall, J Waktare, V Markides, W Hussain, TV Salukhe, S Modi, MBBS, JWE. Jarman, DG. Jones, RL Snowdon, D Todd, T Wong, D Gupta. Effect of linear ablation in substrate-based AF: Results of the Substrate Modification with Ablation and antiarrhythmic drugs in Non-Permanent Atrial Fibrillation Trial. Heart Rhythm 2015:12;1715 2. Das M, Wynn GJ, Morgan M, Lodge B, Waktare JEP, Todd DM, Hall MCS, Snowdon RL, Modi S, Gupta D. Re-ablated sites of acute reconnection after pulmonary vein isolation do not predict sites of late reconnection at repeat electrophysiology study. Heart Rhythm 2015, 12(5S):S121. 3. Das M, Wynn GJ, Morgan M, Lodge B, Waktare JEP, Todd DM, Hall MCS, Snowdon RL, Modi S, Gupta D. Ablation Index predicts sites of reconnection at repeat electrophysiology study following pulmonary vein isolation. Heart Rhythm 2015, 12(5S):S362. 4. M Das, M Duytschaever, D Gupta, P Lukac, J Sorrel, T Phlips, AS Jadidi, H Nakagawa Ablation Index Predicts Sites of Acute Reconnection after Pulmonary Vein Isolation (PVI): a Multi-Center Retrospective Analysis. Heart Rhythm 2015, 12(5S):S86 5. Das M, Piddock N, Wynn GJ, Morgan M, Lodge B, Waktare JEP, Todd DM, Hall MCS, Snowdon RL, Modi S, Gupta D. Low impedance drop predicts sites of acute reconnection following pulmonary vein isolation. Heart Rhythm 2015, 12(5S):S445 6. Das M, Wynn GJ, Lodge B, Morgan M, Modi SS, Hall MCS, Snowdon RL, Todd DM, Gupta D. Automated ablation lesion tagging with an integrated radiofrequency parameter index predicts sites of acute reconnection following pulmonary vein isolation. Europace 2014, 16:iii17. 7. Das M, Panter L, Connor N, Mills J, Gupta D. The primary care atrial fibrillation (PCAF) service: consultant-led anticoagulation assessment clinics in the primary care setting increase the uptake of anticoagulation therapy in AF patients at high-risk of stroke. Europace 2014, 16:iii16. 8. Das M, Wynn GJ, Khalatabari A, Cooke C, Morgan M, Lodge B, Gupta D. Echocardiographic parameters of atrial conduction delay correlate to signal-averaged P wave duration and predict AF recurrence in patients with sustained paroxysmal and persistent AF. Europace 2014, 16:iii19. 9. Wynn GJ, Das M, Lodge B, Morgan M, Todd DM, Waktare JEP, Modi S, Gupta D, McKevith JM. PCA for PVI: First report of successful use of patient controlled analgesia for AF ablation. Europace 2014, 16:iii23. 10. Wynn GJ, Das M, Bonnett LJ, Webber M, Cabrera S, Modi SS, Snowdon RL, Hall MCS, Waktare JEPW, Todd DM, Gupta D. A novel marker of success in atrial fibrillation ablation: the Ablation Effectiveness Quotient (AEQ). Europace 2014, 16:ii136. 11. Lodge B, Wynn GJ, Das M, Cabrera S, Webber M, Morgan M, Gupta D, Todd DM. Age and quality of life in catheter ablation of atrial fibrillation. Europace 2014, 16:ii15. 12. Lodge B, Wynn GJ, Das M, Cabrera S, Webber M, Morgan M, Gupta D, Todd DM. 6 Dhiraj Gupta Dec 2015 Patient reported outcomes (PROMS) in catheter ablation of atrial fibrillation. Europace 2014, 16:ii85. 13. Wynn GJ, Haq I, Hung J, Bonnett LJ, Lewis G, Kennedy T, Das M, Webber M, Modi SS, Snowdon RL, Hall MCS, Waktare JEPW, Todd DM, Gupta D. Use of ultrasound to reduce vascular complications associated with atrial fibrillation ablation: a prospective study. Europace 2014, 16:ii85. 14. Wynn GJ, Das M, Bonnett LJ, Hall MCS, Snowdon RL, Waktare JEPW, Modi SS, Todd DM, Gupta D. The Ablation Effectiveness Quotient: a novel marker to predict the success of atrial fibrillation ablation. Heart 2014, 100:A6-7. 15. Wynn GJ, Haq I, Hung J, Bonnett LJ, Lewis G, Webber M, Das M, Kennedy T, Waktare JEPW, Modi SS, Snowdon RL, Hall MCS, Todd DM, Gupta D. First, do no harm. Improving safety in catheter ablation for atrial fibrillation: a prospective study of the use of ultrasound to guide vascular access. Heart 2014, 100:A5-6. Ongoing Research Projects Pulmonary vein re-isolation as a routine Strategy: a Success Rate Evaluation (PRESSURE): Chief Investigator Randomised prospective trial evaluating the incidence and nature of Pulmonary Vein reconnection at routine invasive study at 8 weeks, and the clinical impact of re-isolation of these veins-Recruiting The value of Ablation index to predict sites of acute Pulmonary Vein Reconnection following ablation for Atrial Fibrillation: Principal Investigator International Multicentric Study with centres from Bruges, Freiburg, Aarhus and Oklahoma Catheter ablation vs Surgical Ablation for AF (CASA-AF): Principal Investigator NIHR funded 3 centre trial with Royal Brompton and Harefield Hospitals Pulmonary vein Reconnection following Ablation Index-guided ablation: a Success Evaluation (PRAISE): Chief Investigator International multi-centre trial with Centro Cardiologico Monzino, IRCCS, Milan, Italy and Freeman Hospital, Newcastle Teaching Experience I am a manuscript reviewer for the Journal of the American College of Cardiology: Arrhythmia and Electrophysiology and the Journal for Atrial Fibrillation I am regularly invited to give external lectures to learned societies such as British Heart Rhythm Society and British Cardiac Society, and to the Swiss Heart Rhythm Society Memberships of Learned Societies Royal College of Physicians (Fellow) British Cardiac Society British Heart Rhythm Society 7