Dr Adrian Elliott
Ext-Funded Research Fellow (C)
School of Biomedicine
Faculty of Health and Medical Sciences
Eligible to supervise Masters and PhD - email supervisor to discuss availability.
Dr Elliott is a nationally and internationally recognised leader in the field of cardiac arrhythmias. Dr Elliott holds a current National Heart Foundation Future Leader Fellowship to support his work into atrial fibrillation (AF) and heart failure (HF). Dr Elliott has defined the role of physical inactivity as a risk factor for cardiac arrhythmias, and has led high-impact studies that show the contribution of exercise training to the management of patients with symptomatic AF. He is the principal investigator for the ongoing EXIT-AF randomised controlled trial into exercise rehabilitation following AF ablation.
More recently, Dr Elliott has co-led the LAST-AF study that defines the presence of subclinical heart failure with preserved ejection fraction (HFpEF), using a novel combination of invasive haemodynamic, electrophysiological and imaging parameters. This work has significant implications for the ongoing management of patients with AF.
Dr Elliott also leads a number of studies quantifying the mechanisms promoting arrhythmias in endurance athletes. He is the state-lead for the Pro@Heart study, a prospective cohort of current and former elite endurance athletes which will shed new light on the cardiac remodelling and development of arrhythmias in this cohort.
Dr Elliott leads an outstanding team of PhD students, cardiac technicians and postdoctoral researchers within the Centre for Heart Rhythm Disorders. He has received >$4m in competitive grant finding over the past 5 years, has been invited to deliver talks (>25) at numerous national and international conferences, and is a senior investigator in multiple clinical trials including REDUCE-AF, PREDICT-STROKE, iCARE-AF.
Dr Elliott holds a continuing academic appointment in the School of Biomedicine at the University of Adelaide, and is a member of the Heart Health Executive at the South Australian Health & Medical Research Institute (SAHMRI). Dr Elliott also holds accreditation as a clinical accredited exercise physiologist (ESSA).
- My Research
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Dr Elliott leads an internationally recognised program of research with the following themes:
1. The role of exercise testing and interventions in patients with cardiac arrhythmias, heart failure and implanted devices.
2. The prevalence and mechanisms of cardiac arrhythmias amongst endurance athletes.
3. The pathophysiological mechanisms promoting cardiac arrhythmias and heart failure.
AVAILABLE PROJECTS FOR PhD/HONOURS STUDENTS
Below is a list of several projects available within Dr Elliott's lab in the Centre for Heart Rhythm Disorders. This list is not exhaustive and any prospective students should contact Dr Elliott in the first instance:
1. Presence of Heart Failure with Preserved Ejection Fraction Amongst Patients with Atrial Fibrillation.
Using exercise-based imaging, blood sampling and direct measures of cardiac pressures, this project will explore the presence of undiagnosed heart failure with preserved ejection fraction (HFpEF) amongst patients with symptomatic atrial fibrillation (AF) undergoing catheter ablation, and evaluates its subsequent impact on long-term outcomes.
Read more on this work here: https://www.jacc.org/doi/10.1016/j.jchf.2023.07.019
2. Benefits of Exercise-Based Interventions Amongst patients with Cardiac Arrhythmias and Implantable Cardiac Devices.
Although exercise training is clinically indicated amongst patients with heart failure, there is less information on the benefits of exercise amongst patients with cardiac arrhythmias and implantable cardiac devices, such as ICD's (implantable cardioverter defibrillator). This series of projects will explore the long term benefits of exercise in this cohort, with particular focus on outcomes including major cardiac events, cardiac function and quality of life.
Red more about our work on exercise interventions for cardiac arrhythmias, such as AF, here: https://www.jacc.org/doi/10.1016/j.jacep.2022.12.002
3. Effect of Exercise on Left Atrial Electrical, Structural and Haemodynamic Parameters: Implications for AF, Heart Failure and Stroke
Adverse left atrial remodelling and left atrial dysfunction are implicated in the development of atrial arrhythmias, heart failure with preserved ejection fraction and embolic stroke. This study will combine novel left atrial imaging from MRI and CT, with invasive assessment of atrial electrical and haemodynamic measures, to determine the response to exercise training amongst patients with existing disease (AF, heart failure) as well as endurance athletes who are predisposed towards AF.
To learn more about the impact of exercise training on the left atrium: https://journals.physiology.org/doi/abs/10.1152/ajpheart.00322.2023
Dr Elliott is supported by a Future Leader Fellowship from the National Heart Foundation and is based in the Centre for Heart Rhythm Disorders (University of Adelaide/Royal Adelaide Hospital/South Australian Health & Medical Research Institute). Dr Elliott is also an accredited clinical exercise physiologist (ESSA).
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Appointments
Date Position Institution name 2014 - ongoing National Heart Foundation Future Leader Fellow University of Adelaide 2013 - ongoing Senior Lecturer, Physiology University of Adelaide -
Awards and Achievements
Date Type Title Institution Name Country Amount 2017 Fellowship Postdoctoral Fellowship National Heart Foundation Australia - -
Education
Date Institution name Country Title Kingston University, London, UK PhD (Exercise & Cardiac Physiology) -
Certifications
Date Title Institution name Country — Accredited Exercise Physiologist Exercise & Sports Science Australia - -
Research Interests
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Journals
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Conference Papers
Year Citation 2024 Dziano, J., Howie, J., Ariyaratnam, J., Middeldorp, M., Emami, M., Mishima, R., . . . Elliott, A. (2024). Abnormalities in Cardiopulmonary Exercise Test Associated With More Advance Atrial Cardiomyopathy. In Heart Lung and Circulation Vol. 33 (pp. S146-S147). Elsevier BV.
DOI2024 Ariyaratnam, J., Elliott, A. D., Mishima, R. S., Emami, M., Kadhim, K., Middeldorp, M. E., & Sanders, P. (2024). Invasive haemodynamic assessment shows the obesity-HFpEF phenotype is common amongst patients with symptomatic AF. In EUROPEAN HEART JOURNAL Vol. 45 (pp. 1 page). OXFORD UNIV PRESS.
DOI2021 Ariyaratnam, J. P., Mishima, R., Gallagher, C., Emami, M., Wong, C., Malik, V., . . . Sanders, P. (2021). Left Atrial Hemodynamics and Invasive Functional Testing to Characterize Heart Failure With Preserved Ejection Fraction in Patients With Atrial Fibrillation. In CIRCULATION Vol. 144 (pp. 3 pages). Boston, MA: LIPPINCOTT WILLIAMS & WILKINS. 2020 De Bosscher, R., Claeys, M., Dausin, C., Goetschalckx, K., Bogaert, J., Van de Heyning, C., . . . Claessen, G. (2020). Hinge point fibrosis in athletes is not associated with structural, functional or electrical consequences: a comparison between young and middle-aged elite endurance athletes. In EUROPEAN HEART JOURNAL Vol. 41 (pp. 3126). ELECTR NETWORK: OXFORD UNIV PRESS. 2018 Elliott, A., Verdicchio, C. V., Linz, D., Stokes, M., Gallagher, C., Mahajan, R., . . . Sanders, P. (2018). Mechanisms contributing to exercise intolerance in patients with atrial fibrillation. In EUROPEAN HEART JOURNAL Vol. 39 (pp. 199). Munich, GERMANY: OXFORD UNIV PRESS. 2018 Khokhar, K. B., Lau, D., Elliott, A., Mahajan, R., Thiyagarajah, A., Munawar, D. A., . . . Sanders, P. (2018). Association of aortic stiffness and new onset AF-A meta-analysis. In EUROPEAN HEART JOURNAL Vol. 39 (pp. 420). Munich, GERMANY: OXFORD UNIV PRESS. 2018 Elliott, A., Verdicchio, C., Gallagher, C., Linz, D., Mahajan, R., & Sanders, P. (2018). Myocardial Impairments Rather Than Rhythm Status Contributes to Exercise Intolerance in Patients with Atrial Fibrillation. In FASEB JOURNAL Vol. 32 (pp. 2 pages). Amer Assoc Anatomists, San Diego, CA: FEDERATION AMER SOC EXP BIOL. 2017 Middeldorp, M. E., Elliott, A. D., Gallagher, C., Hendricks, J., Munawar, A., Khokhar, K., . . . Sanders, P. (2017). The influence of gender on 1-year outcomes of patients undergoing primary AF ablation. In EUROPEAN HEART JOURNAL Vol. 38 (pp. 39). Barcelona, SPAIN: OXFORD UNIV PRESS. 2017 Mahajan, R., Lew, L., Koh, Y. H., Khokkar, K., Elliott, A. D., Gallagher, C., . . . Sanders, P. (2017). Cognitive impairment and dementia in atrial fibrillation: a meta-analysis. In EUROPEAN HEART JOURNAL Vol. 38 (pp. 984). OXFORD UNIV PRESS. 2017 Agbaedeng, T. A., Mahajan, R., Munawar, D. A., Elliott, A., Twomey, D. J., Khokhar, K. B., . . . Sanders, P. (2017). Risk of sudden cardiac death in obesity: A systematic review and meta-analysis of emerging evidence. In EUROPEAN HEART JOURNAL Vol. 38 (pp. 1119). OXFORD UNIV PRESS. 2016 Khokhar, K. B., Stiles, M., Mahajan, R., Elliott, A., Lau, D., Kumar, S., . . . Sanders, P. (2016). A meta-analysis of longitudinal studies to evaluate predictive role of arterial stiffness in cardiovascular and all cause mortality. In Abstracts for the 64th Annual Scientific Meeting of the Cardiac Society of Australia and New Zealand (CSANZ 2016), as published in Heart Lung and Circulation Vol. 25 (pp. S9). Adelaide, SA: Elsevier.
DOI2015 Elliott, A., Pathak, R. K., Middeldrop, M. E., Meredith, M., Lau, D., Mahajan, R., & Sanders, P. (2015). Low cardiorespiratory fitness predicts arrhythmia recurrence in patients with symptomatic atrial fibrillation. In EUROPEAN HEART JOURNAL Vol. 36 (pp. 332). London, ENGLAND: OXFORD UNIV PRESS. -
Conference Items
Year Citation 2023 Elliott, A., Verdicchio, C. V., Mahajan, R., Gallagher, C., Lau, D. H., Middeldorp, M. E., & Sanders, P. (2023). Impact of atrial fibrillation type on outcomes following aerobic exercise training: analysis from the ACTIVE-AF Trial. Poster session presented at the meeting of Abstracts of the European Society of Cardiology Congress (ESC 2023), as published in European Heart Journal. Amsterdam and virtual online: Oxford University Press (OUP).
DOI2023 Ariyaratnam, J., Mishima, R. S., Kadhim, K., Emami, M., Gallagher, C., Lau, D. H., . . . Elliott, A. D. (2023). Invasively diagnosed HFpEF in AF associated with functional remodelling of the left atrial appendage: implications for stroke risk. Poster session presented at the meeting of Abstracts of the European Society of Cardiology Congress (ESC 2023), as published in European Heart Journal. Amsterdam and virtual online: Oxford University Press (OUP).
DOI2023 Elliott, A., Ariyaratnam, J. A., Mishima, R. S., Gallagher, C., Kuklik, P., & Sanders, P. (2023). Lower cardiorespiratory fitness is associated with left atrial structural, functional and electrical remodelling in patients with symptomatic atrial fibrillation. Poster session presented at the meeting of Abstracts of the European Society of Cardiology Congress (ESC 2023), as published in European Heart Journal. Amsterdam and virtual online: Oxford University Press (OUP).
DOI2022 Elliott, A. D., Verdicchio, C., Mahajan, R., Middeldorp, M. E., Gallagher, C., Lau, D. H., & Sanders, P. (2022). Impact of Sex on Outcomes Following Aerobic Exercise Training in Patients With Symptomatic Atrial Fibrillation. Poster session presented at the meeting of CIRCULATION. Chicago, IL: LIPPINCOTT WILLIAMS & WILKINS. 2020 Tu, S. J., Hanna-Rivero, N., Elliott, A. D., Clarke, N., Huang, S., Pitman, B. M., . . . Wong, C. X. (2020). Associations of Anemia With Stroke, Bleeding, and Mortality in Atrial Fibrillation: A Systematic Review and Meta-analyses. Poster session presented at the meeting of CIRCULATION. LIPPINCOTT WILLIAMS & WILKINS.
WoS12019 Middeldorp, M. E., Elliott, A., Lau, D. H., & Sanders, P. (2019). Is Cessation of Anticoagulation Safe Post Successful AF Ablation: Late Occurrence of Thromboembolic Events. Poster session presented at the meeting of CIRCULATION. Philadelphia, PA: LIPPINCOTT WILLIAMS & WILKINS. 2019 Agbaedeng, T. A., Emami, M., Munawar, D. A., Rattanakosit, T., Khadim, K. I., Elliott, A., . . . Sanders, P. (2019). Fibrosis detected by late-gadolinium enhancement cardiac MRI is associated with atrial fibrillation and poorer ablation outcome: A meta-analysis. Poster session presented at the meeting of EUROPEAN HEART JOURNAL. Paris, FRANCE: OXFORD UNIV PRESS. 2019 Kadhim, K., Elliott, A., Middeldorp, M., Hendriks, J., Gallagher, C., Mahajan, R., . . . Linz, D. (2019). MOODS: a novel risk score to identify patients with atrial fibrillation and sleep apnoea. Poster session presented at the meeting of EUROPEAN HEART JOURNAL. Paris, FRANCE: OXFORD UNIV PRESS. 2019 Linz, D., Nalliah, C., Baumert, M., Kadhim, K., Middeldorp, M., Elliott, A., . . . Sanders, P. (2019). Nocturnal hypoxemic burden in ambulatory patients with atrial fibrillation: a disease-orientated assessment of sleep-disordered breathing severity. Poster session presented at the meeting of EUROPEAN HEART JOURNAL. Paris, FRANCE: OXFORD UNIV PRESS. 2017 Hendriks, J. M. L., Gallagher, C., Mahajan, R., Elliott, A., Middeldorp, M. E., Lau, D., & Sanders, P. (2017). Integrated Care Management in Atrial Fibrillation is associated with improved outcomes - a systematic review and meta-analysis. Poster session presented at the meeting of INTERNATIONAL JOURNAL OF INTEGRATED CARE. UBIQUITY PRESS LTD.
DOI2017 Khokhar, K. B., Stiles, M., Elliott, A., Mahajan, R., Lau, D., Munawar, A., . . . Sanders, P. (2017). Aortic stiffness in atrial fibrillation: a systematic review and meta-analysis. Poster session presented at the meeting of Abstracts of the 65th Annual Scientific Meeting of the Cardiac Society of Australia and New Zealand, as published in Heart, Lung and Circulation. Perth, Australia: Elsevier.
DOI2016 Agbaedeng, T. A., Mahajan, R., Munawar, D. A., Elliott, A., Twomey, D. J., Kumar, S., . . . Sanders, P. (2016). Meta-analysis of effects of epicardial fat on atrial fibrillation and ablation outcome. Poster session presented at the meeting of Abstracts for the 64th Cardiac Society of Australia and New Zealand Annual Scientific Meeting and the International Society for Heart Research Australasian Section Annual Scientific Meeting, as published in Heart, Lung and Circulation. Adelaide, Australia: Elsevier.
DOI2016 Agbaedeng, T. A., Mahajan, R., Munawar, D. A., Elliott, A., Twomey, D. J., Kumar, S., . . . Sanders, P. (2016). Effects of epicardial fat and anterior fat pad removal on post-operative atrial fibrillation: a systematic review and meta-analysis. Poster session presented at the meeting of EUROPEAN HEART JOURNAL. Rome, ITALY: OXFORD UNIV PRESS.
2021-2024: National Heart Foundation Future Leader Fellowship
2023-2024: The Hospital Research Foundation Cardiovascular Project Grant
2017-2019: National Heart Foundation Early Career Fellowship
2018: National Heart Foundation Vanguard Project Grant
Foundations of Medicine
Medical Studies I
PHYSIOL 2510: Human Physiology IIA
PATHOL 3101: Essentials of Pathology
MBBS III: Research Placement
Hlth SC 3009: Research Placement
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Current Higher Degree by Research Supervision (University of Adelaide)
Date Role Research Topic Program Degree Type Student Load Student Name 2024 Co-Supervisor The role of continuous remote monitoring in patients with cardiac implantable electronic devices Master of Philosophy (Medical Science) Master Full Time Dr Mohamed Abdelmonim Abdelkarim Abbas 2024 Co-Supervisor Left atrial compliance and exercise tolerance in atrial fibrillation Master of Philosophy (Medical Science) Master Full Time Dr Sanjai Pattu Valappil 2023 Principal Supervisor Efficacy of personalised exercise for the reduction of cardiovascular risk and primary prevention of cardiovascular disease Doctor of Philosophy Doctorate Full Time Mrs Jenelle Kay Dziano 2023 Principal Supervisor The effects of exercise-based rehabilitation on atrial fibrillation recurrence following catheter ablation Doctor of Philosophy Doctorate Full Time Mr Jackson Oliver Howie 2023 Co-Supervisor Predict Stroke - Will closer/proper risk factor management in patients with previous stroke prevents them from getting another stroke? Doctor of Philosophy Doctorate Full Time Mr Mohanaraj Jayakumar -
Past Higher Degree by Research Supervision (University of Adelaide)
Date Role Research Topic Program Degree Type Student Load Student Name 2020 - 2024 Co-Supervisor Heart Failure with Preserved Ejection Fraction in Atrial Fibrillation Doctor of Philosophy Doctorate Full Time Dr Jonathan Prashanth Ariyaratnam 2019 - 2021 Principal Supervisor PHYSICAL ACTIVITY AND CARDIORESPIRATORY FITNESS IN ATRIAL FIBRILLATION INCIDENCE, PROGNOSIS AND PATOPHYSIOLOGY Doctor of Philosophy Doctorate Full Time Mr Ricardo Sadashi Mishima 2017 - 2023 Co-Supervisor Exercise-Associated Cardiac Rhythm Disorders in Thoroughbred Racehorses Doctor of Philosophy Doctorate Part Time Dr Laura Catherine Nath 2016 - 2019 Co-Supervisor Characterisation of Atrial Fibrillation Patients: Risk Factors, Progression, Gender and Thrombogenic Risk Doctor of Philosophy Doctorate Full Time Ms Melissa Middeldorp 2016 - 2019 Co-Supervisor Exercise in Atrial Fibrillation Doctor of Philosophy Doctorate Full Time Dr Christian Vincent Verdicchio -
Other Supervision Activities
Date Role Research Topic Location Program Supervision Type Student Load Student Name 2019 - ongoing Co-Supervisor Exercise, Atrial Fibrillation & Heart Failure University of Adelaide - Doctorate - Dr Ricardo Mishima
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Committee Memberships
Date Role Committee Institution Country 2016 - ongoing Member National Research Committee Exercise & Sports Science Australia Australia -
Memberships
Date Role Membership Country 2016 - ongoing Founder European Associated of Preventive Cardiology - 2015 - ongoing Member Heart Rhythm Society United States
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External Profiles