Background

Dr Daniel Keene is a consultant cardiologist. He is involved in all clinical aspects of general cardiology but his clinical focus is in cardiac electrophysiology and complex devices.

Dr Keene graduated from the University of Manchester in 2009 having received commendations for all his special study modules. In 2013, he was appointed a prestigious National Institute of Health Research (NIHR) Academic Clinical Fellow post in cardiology based at Imperial College London.

During this time, whilst completing his cardiology training, he was awarded a highly competitive British Heart Foundation Clinical Research Training Fellowship to address novel issues in implantable cardiac devices leading to the award of his PhD. Following the award of his PhD, and completion of his general cardiology training he was appointed as an Advanced Clinical Training Fellow in Electrophysiology and Devices. This training opportunity led to the development of advanced skills and accreditation in cardiac electrophysiology and both simple and complex cardiac device implantation, as well as their troubleshooting and follow-up.

He has developed a highly specialised skill set including the implantation of the subcutaneous ICD (including the use of nerve block for analgesia), the EV ICD, undertaking advanced training in interventional CRT techniques for complex device implant procedures and has vast experience in all aspects of conduction system pacing (his bundle pacing, left bundle pacing and Bachmann's Bundle pacing) for which he is highly regarded internationally for being a high volume implanter, proctor, researcher and educator. He also has built up a considerable experience in cardiac device lead management including complex lead extraction when necessary. He is a high volume upgrader of devices and has recently chaired an International Consensus Statement on this important device topic as well as being a key contributor to other recent International Consensus Statements.

He regularly performs and interprets electrophysiological studies and undertakes the ablation of AVNRT, AVRT, atrial flutter, ventricular ectopy, atrial tachycardia and atrial fibrillation.

He is also the Chief Investigator / Co-Chief Investigator on a number of key ongoing international clinical trials evaluating the role of novel pacing strategies.

 

Expertise

Atrial Fibrillation (AF) Ablation, CRT / ICD implantation, Device and lead extraction, Management of palpitations and performance of diagnostic electrophysiology studies and ablation, Investigation of dizzy / collapse episodes, Pacemaker implantation, Physiological Cardiac pacing (conduction system pacing)

Research & publications

Cardiac implantable electronic device upgrades and downgrades: a Clinical Consensus Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Asia Pacific Heart Rhythm Association (APHRS), Canadian Heart Rhythm Society (CHRS), Heart Rhythm Society (HRS), and the Latin American Heart Rhythm Society (LAHRS)

https://academic.oup.com/europace/article/27/12/euaf252/8377182

European Society of Cardiology (ESC) clinical consensus statement on indications for conduction system pacing, with special contribution of the European Heart Rhythm Association of the ESC and endorsed by the Asia Pacific Heart Rhythm Society, the Canadian Heart Rhythm Society, the Heart Rhythm Society, and the Latin American Heart Rhythm Society

https://academic.oup.com/europace/article/27/4/euaf050/8100402

 

Private practice

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