Associate Professor Belinda Gray
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Associate Professor Belinda Gray

BSc(Med) MBBS PhD FRACP FCSANZ FHRS
Heart Foundation Future Leader Fellow Central Clinical School
Cardiologist and Director of Sports Cardiology Program Royal Prince Alfred Hospital
Associate Professor, Central Clinical School
Faculty of Medicine and Health
Phone
+61 2 9565 6295

A/Prof Belinda Gray is a Heart Foundation Future Leadership Fellow at Central Clinical School. She is also a Consultant Cardiologist with a special interest in sports cardiology and genetic heart diseases at Royal Prince Alfred Hospital (RPAH). She completed a Heart Foundation-funded PhD at the University of Sydney from 2013-2016 in genetic heart disease before completing a 2 year NHMRC overseas fellowship in Inherited Cardiac Conditions and Sports Cardiology at St George’s, London, UK. She developed NSW first dedicated sports cardiology clinic and research program at RPAH in 2021. She is a level 3 cardiac MRI reporter. Her research focusses on prevention of sudden cardiac death in the young, including young athletes.

Sports Cardiology

Sudden Cardiac Death in the young

Genetic heart disease

Cardiomyopathy

Channelopathy

Cardiac MRI

Genetic Heart Disease

Sports Cardiology

Cardiomyopathy

Sudden Cardiac Death in the Young

Project title

Summary of project

Improving our understanding of Genetic Heart Disease

This project aims to longitudinally follow patients with genetic heart disease, with an aim to improve our understanding of the specific clinical features and risk markers for individuals and families with these conditions.Ultimately we aim to improve our risk stratification reduce sudden cardiac death for patients and families with a genetic heart disease.

Improving Our Understanding of Athlete’s Heart

This project aims to better understand differences between ‘athlete’s heart’ and underlying heart muscle disease (cardiomyopathy) using proteomics, metabolomics and genomics.This study is in collaboration with the Precision Medicine Laboratory at Charles Perkins Centre with A/Prof Sean Lal and Professor John O’Sullivan.

Outcomes Registry for Cardiac Conditions in Athletes: Prospective, Multisite Research Study (The ORCCA Study)

The ORCCA Study is an international registry of young competitive athletes with a cardiac condition or suspected cardiac condition. The primary aim of the study is to assess long-term cardiovascular outcomes. Key secondary aims include an assessment of disease progression, physical activity levels, the psychosocial impacts of a cardiac diagnosis and sport eligibility decision-making. This study is in collaboration with University of Washington.

Understanding the Anatomical Basis to ECG Changes in Female Athletes

This study aims to use cardiac magnetic resonance imaging to investigate the potential underlying mechanisms for ECG changes noted in female endurance athletes.This study is in collaboration with Victor Chang Cardiac Research Institute.

Novel Methods of Risk Assessment for Patients with the Brugada Syndrome: Rare Arrhythmia Syndrome Evaluation (RASE) Brugada Study

This international, multi-centre study aims to develop a new ECG-based method of risk stratification for individuals with Brugada syndrome. The study aims to develop an ECG-based risk score using machine learning. This study is in collaboration with St George’s University of London.

Chair, Cardiac Society of Australia and New Zealand (CSANZ) Genetic Council

2024 Heart Foundation Future Leader Fellowship

2020 University of Sydney, Cardiovascular Initiative Catalyst Award

2019 European Heart Rhythm Association (EHRA) Educational Grant

2018 Heart Rhythm Society USA, Travelling Fellowship

2017 CSANZ Travelling Fellowship, European Society of Cardiology, Barcelona

2016 Heart Rhythm Society Annual Scientific Sessions, San Francisco, USA, Young Investigator Awards, Finalist

2016 CSANZ Annual Scientific Sessions; Ralph Reader Prize, Finalist

2016 Cardiac Society of Australia and New Zealand Travelling Fellowship

2016 Centenary Institute Travel Award

2016 Heart Foundation Australia Collaboration and Exchange Award

2016 SADS Foundation Courts K. Cleveland, Jn. USA; Finalist Young Investigator Awards in Cardiac Channelopathy Research

2013 Royal Australasian College of Physicians Trainee Research Awards, Finalist

2013 Royal Prince Alfred Hospital Patrons Prize Finalist

2012 Royal Prince Alfred Hospital Patrons Prize Finalist

2011 CSANZ Travelling Fellowship, American Heart Association, Orlando, USA

Qualifications

2022 Fellowship of Heart Rhythm Society USA (FHRS)

2020 Fellowship of the Cardiac Society of Australia and New Zealand (FCSANZ)

2019 Level 3 CMR Certification: Society for Cardiovascular Magnetic Resonance (SCMR)

2019 Postdoctoral fellowship in Sports Cardiology, Inherited Cardiac Conditions and Cardiac MRI. St George’s University of London

    Obesity, Diabetes and Cardiovascular Disease
    Project titleResearch student
    Phenotypic differences between athletes and individuals with dilated cardiomyopathyRita-maria ABDO
    Using genomics to advance sudden cardiac death diagnosis and risk assessment.Yuchen Chang CHANG
    Understanding the athlete heart and the role of gender and ethnic diversityAngus DAVIS

    Publications

    Journals

    • Lampert, R., Harmon, K., James, C., Kim, J., Krahn, A., La Gerche, A., Link, M., MacIntyre, C., Mont, L., Salerno, J., Gray, B., et al (2024). 2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play. Heart Rhythm. [More Information]
    • Davis, A., Orchard, J., McGhie, J., Broadbridge, D., Raju, H., La Gerche, A., Puranik, R., Gray, B., De Jongh, J., Driscoll, T., Orchard, J. (2024). Comparison of 6-lead smartphone ECG and 12-lead ECG in athletes and a genetic heart disease population. Expert Review of Medical Devices. [More Information]
    • McColl, H., Cordina, R., Lal, S., Parker, M., Hunyor, I., Medi, C., Gray, B. (2024). Recurrent immunosuppressive-responsive myocarditis in a patient with desmoplakin cardio-myopathy: a case report. European Heart Journal - Case Reports, 8(3), ytae129. [More Information]

    2024

    • Lampert, R., Harmon, K., James, C., Kim, J., Krahn, A., La Gerche, A., Link, M., MacIntyre, C., Mont, L., Salerno, J., Gray, B., et al (2024). 2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play. Heart Rhythm. [More Information]
    • Davis, A., Orchard, J., McGhie, J., Broadbridge, D., Raju, H., La Gerche, A., Puranik, R., Gray, B., De Jongh, J., Driscoll, T., Orchard, J. (2024). Comparison of 6-lead smartphone ECG and 12-lead ECG in athletes and a genetic heart disease population. Expert Review of Medical Devices. [More Information]
    • McColl, H., Cordina, R., Lal, S., Parker, M., Hunyor, I., Medi, C., Gray, B. (2024). Recurrent immunosuppressive-responsive myocarditis in a patient with desmoplakin cardio-myopathy: a case report. European Heart Journal - Case Reports, 8(3), ytae129. [More Information]

    2023

    • Isbister, J., Gray, B., Offen, S., Yeates, L., Naoum, C., Medi, C., Raju, H., Semsarian, C., Puranik, R., Sy, R. (2023). Longitudinal assessment of structural phenotype in Brugada syndrome using cardiac magnetic resonance imaging. Heart Rhythm O2, 4(1), 34-41. [More Information]
    • Leslie, F., Avis, S., Bagnall, R., Bendall, J., Briffa, T., Brouwer, I., Butters, A., Figtree, G., La Gerche, A., Gray, B., Semsarian, C., Sy, R., Yeates, L., et al (2023). The New South Wales Sudden Cardiac Arrest Registry: A Data Linkage Cohort Study. Heart, Lung, and Circulation, 32(9), 1069-1075. [More Information]
    • Hoorntje, E., Burns, C., Marsili, L., Corden, B., Parikh, V., Te Meerman, G., Gray, B., Adiyaman, A., Bagnall, R., Barge-Schaapveld, D., et al (2023). Variant Location Is a Novel Risk Factor for Individuals with Arrhythmogenic Cardiomyopathy Due to a Desmoplakin (DSP) Truncating Variant. Circulation. Genomic and Precision Medicine, 16(1), E003672. [More Information]

    2022

    • Vivekanandam, V., Männikkö, R., Skorupinska, I., Germain, L., Gray, B., Wedderburn, S., Kozyra, D., Sud, R., James, N., Holmes, S., et al (2022). Andersen-Tawil syndrome: deep phenotyping reveals significant cardiac and neuromuscular morbidity. Brain, 145(6), 2108-2120. [More Information]
    • Semsarian, C., Gray, B., Haugaa, K., Lampert, R., Sharma, S., Kovacic, J. (2022). Athletic Activity for Patients With Hypertrophic Cardiomyopathy and Other Inherited Cardiovascular Diseases: JACC Focus Seminar 3/4. Journal of the American College of Cardiology, 80(13), 1268-1283. [More Information]
    • Castelletti, S., Gray, B., Basso, C., Behr, E., Crotti, L., Elliott, P., Gonzalez Corcia, C., D'Ascenzi, F., Ingles, J., Loeys, B., et al (2022). Indications and utility of cardiac genetic testing in athletes. European Journal of Preventive Cardiology, 29(12), 1582-1591. [More Information]

    2021

    • Isbister, J., Nowak, N., Butters, A., Yeates, L., Gray, B., Sy, R., Ingles, J., Bagnall, R., Semsarian, C. (2021). "Concealed cardiomyopathy" as a cause of previously unexplained sudden cardiac arrest. International Journal of Cardiology, 324, 96-101. [More Information]
    • Miles, C., Asimaki, A., Ster, I., Papadakis, M., Gray, B., Westaby, J., Finocchiaro, G., Bueno-Beti, C., Ensam, B., Basu, J., et al (2021). Biventricular Myocardial Fibrosis and Sudden Death in Patients With Brugada Syndrome. Journal of the American College of Cardiology, 78(15), 1511-1521. [More Information]
    • Femia, J., Langlois, N., Raleigh, J., Gray, B., Othman, F., Perumal, S., Semsarian, C., Puranik, R. (2021). Comparison of conventional autopsy with post-mortem magnetic resonance, computed tomography in determining the cause of unexplained death. Forensic Science, Medicine, and Pathology, 17(1), 10-18. [More Information]

    2020

    • Malhotra, A., Dhutia, H., Yeo, T., Finocchiaro, G., Gati, S., Bulleros, P., Fanton, Z., Papatheodorou, E., Miles, C., Basu, J., et al (2020). Accuracy of the 2017 international recommendations for clinicians who interpret adolescent athletes' ECGs: A cohort study of 11 168 British white and black soccer players. British Journal of Sports Medicine, 54(12), 739-745. [More Information]
    • Finocchiaro, G., Dhutia, H., Gray, B., Ensam, B., Papatheodorou, S., Miles, C., Malhotra, A., Fanton, Z., Bulleros, P., Homfray, T., et al (2020). Diagnostic yield of hypertrophic cardiomyopathy in first-degree relatives of decedents with idiopathic left ventricular hypertrophy. Europace, 22(4), 632-642. [More Information]
    • Gray, B., Semsarian, C. (2020). Genetic Testing for Inherited Cardiovascular Disease: Implications of the AHA Scientific Statement for Cardiologists. Heart, Lung, and Circulation, 29(11), 1581-1584. [More Information]

    2019

    • Yeates, L., Ingles, J., Gray, B., Singarayar, S., Sy, R., Semsarian, C., Bagnall, R. (2019). A balanced translocation disrupting SCN5A in a family with Brugada syndrome and sudden cardiac death. Heart Rhythm, 16(2), 231-238. [More Information]
    • Gray, B., Ackerman, M., Semsarian, C., Behr, E. (2019). Evaluation After Sudden Death in the Young. Circulation. Arrhythmia and Electrophysiology, 12(8), 1-9. [More Information]
    • Gray, B., Tester, D., Wong, L., Chanana, P., Jaye, A., Evans, J., Baruteau, A., Evans, M., Fleming, P., Jeffrey, I., et al (2019). Noncardiac genetic predisposition in sudden infant death syndrome. Genetics in Medicine, 21(3), 641-649. [More Information]

    2018

    • Gray, B., Semsarian, C. (2018). Editorial commentary: Will the real long QT genes please stand up. Trends In Cardiovascular Medicine, 28(7), 465-466. [More Information]
    • Tester, D., Wong, L., Chanana, P., Gray, B., Jaye, A., Evans, J., Evans, M., Fleming, P., Jeffrey, I., Cohen, M., et al (2018). Exome-Wide Rare Variant Analyses in Sudden Infant Death Syndrome. The Journal of Pediatrics, 203, 423-428. [More Information]
    • Gray, B., Hasdemir, C., Ingles, J., Aiba, T., Makita, N., Probst, V., Wilde, A., Newbury-Ecob, R., Sheppard, M., Semsarian, C., Sy, R., et al (2018). Lack of genotype-phenotype correlation in Brugada Syndrome and Sudden Arrhythmic Death Syndrome families with reported pathogenic SCN1B variants. Heart Rhythm, 15(7), 1051-1057. [More Information]

    2017

    • Gray, B., Ingles, J., Medi, C., Driscoll, T., Semsarian, C. (2017). Cardiovascular Effects of Energy Drinks in Familial Long QT Syndrome: A Randomized Cross-Over Study. International Journal of Cardiology, 231, 150-154. [More Information]
    • Gray, B., Kirby, A., Kabunga, P., Freedman, S., Yeates, L., Kanthan, A., Medi, C., Keech, A., Semsarian, C., Sy, R. (2017). Twelve-lead ambulatory electrocardiographic monitoring in Brugada syndrome: Potential diagnostic and prognostic implications. Heart Rhythm, 14(6), 866-874. [More Information]

    2016

    • Gray, B., Bagnall, R., Lam, L., Ingles, J., Turner, C., Haan, E., Davis, A., Yang, P., Clancy, C., Sy, R., Semsarian, C. (2016). A novel heterozygous mutation in cardiac calsequestrin causes autosomal dominant catecholaminergic polymorphic ventricular tachycardia. Heart Rhythm, 13(8), 1652-1660. [More Information]
    • Burns, C., Ingles, J., Davis, A., Connell, V., Gray, B., Hunt, L., McGaughran, J., Semsarian, C. (2016). Clinical and genetic features of Australian families with long QT syndrome: A registry-based study. Journal of Arrhythmia, 32(6), 456-461. [More Information]
    • Gray, B., Klimis, H., Inam, S., Ariyathna, N., Kumar, S., Bailey, B., Patel, S. (2016). Corrigendum to 'Radiation Exposure During Cardiac Catheterisation is Similar for Both Femoral and Radial Approaches' Heart, Lung and Circulation (2015) 24, 264-269. Heart, Lung, and Circulation, 25(10), 1043. [More Information]

    2015

    • Earle, N., Ingles, J., Bagnall, R., Gray, B., Crawford, J., Smith, W., Shelling, A., Love, D., Semsarian, C., Skinner, J. (2015). NOS1AP polymorphisms modify QTc interval duration but not cardiac arrest risk in hypertrophic cardiomyopathy. Journal of Cardiovascular Electrophysiology, 26(12), 1346-1351. [More Information]
    • Gray, B., Klimis, H., Inam, S., Ariyathna, N., Kumar, S., Bailey, B., Patel, S. (2015). Radiation Exposure During Cardiac Catheterisation is Similar for Both Femoral and Radial Approaches. Heart, Lung, and Circulation, 24(3), 264-269. [More Information]
    • Ingles, J., Johnson, R., Sarina, T., Yeates, L., Burns, C., Gray, B., Ball, K., Semsarian, C. (2015). Social determinants of health in the setting of hypertrophic cardiomyopathy. International Journal of Cardiology, 184(1), 743-749. [More Information]

    2014

    • Gray, B., Semsarian, C., Sy, R. (2014). Brugada Syndrome: A Heterogeneous Disease with a Common ECG Phenotype? Journal of Cardiovascular Electrophysiology, 25(4), 450-456. [More Information]
    • Puranik, R., Gray, B., Lackey, H., Yeates, L., Parker, G., Duflou, J., Semsarian, C. (2014). Comparison of conventional autopsy and magnetic resonance imaging in determining the cause of sudden death in the young. Journal of Cardiovascular Magnetic Resonance, 16(1), 1-11. [More Information]
    • Gray, B., McGuire, M., Semsarian, C., Medi, C. (2014). Late positive flecainide challenge test for Brugada syndrome. Heart Rhythm, 11(5), 898-900. [More Information]

    2013

    • Yu, Y., Gray, B., Lowe, H., Halmagyi, G., Ng, M. (2013). Dual modality intravascular imaging of unstable, symptomatic but "hemodynamically insignificant" carotid stenosis. Journal of Neurology, 260(7), 1934-1935. [More Information]
    • Gray, B., Yeates, L., Medi, C., Ingles, J., Semsarian, C. (2013). Homozygous mutation in the cardiac troponin I gene: Clinical heterogeneity in hypertrophic cardiomyopathy. International Journal of Cardiology, 168(2), 1530-1531. [More Information]
    • Gray, B., Ingles, J., Medi, C., Semsarian, C. (2013). Prolongation of the QTc Interval Predicts Appropriate Implantable Cardioverter-Defibrillator Therapies in Hypertrophic Cardiomyopathy. JACC: Heart Failure, 1(2), 149-155. [More Information]

    2012

    • Gray, B., Das K, J., Semsarian, C. (2012). Consumption of energy drinks: A new provocation test for primary arrhythmogenic diseases? International Journal of Cardiology, 159(1), 77-78. [More Information]

    2011

    • Gray, B., Ingles, J., Semsarian, C. (2011). Natural history of genotype positive-phenotype negative patients with hypertrophic cardiomyopathy. International Journal of Cardiology, 152(2), 258-259. [More Information]
    • Gray, B., MacDonald, P., Kuchar, D. (2011). Reversal of cardiomyopathy with ivabradine. Internal Medicine Journal, 41(2), 213-214. [More Information]

    Selected Grants

    2024

    • Improving our understanding of athlete's heart through advanced phenotyping, genomics and multiomics profiling., Gray B, National Heart Foundation of Australia/Future Leader Fellowship

    2023

    • The Elusive Hearts Study: Using genomics to diagnose and manage inherited cardiovascular diseases, Ingles J, Semsarian C, Stark Z, Zentner D, Konstantinov I, Atherton J, MacArthur D, Bagnall R, Gray B, Skinner J, Deveson I, Siggs O, G.Weintraub R, McGaughran J, Vandenberg J, Department of Health and Aged Care (Federal - administered by NHMRC)/Cardiovascular Health Mission - 2022 Cardiovascular Health Grant

    Further Grants

    2022 MRFF Cardiovascular Health Mission (NHMRC) Grant “The Elusive Hearts Study: Using genomics to diagnose and manage inherited cardiovascular disease” Chief Investigator $1,499,286 (3yr)

    Invited Contributions/Talks (Last 5 years only)

    Invited Guideline Writing:

    2024 HRS expert consensus statement on arrhythmias in the athlete: evaluation, treatment and return to play. Heart Rhythm.

    EAPC scientific statement on genetic testing in athletes (Co-Lead) 2020

    CSANZ Cardiac Genetics Council Consensus Statement for management of genetic heart disease patients with COVID19

    Invited Reviewer:

    Heart Rhythm Society, USA 2023 Young Investigator Awards. Judge and Chair of session

    ESC Guidelines in Sports Cardiology 2020

    NHMRC Project Grant (2018-)

    Invited Talks:

    Genotype Guided Return to Play for athletes with cardiomyopathies. Asia Pacific Heart Rhythm Meeting September 2024

    Understanding Genetic Testing in Sports Cardiology. Blacktown Hospital. June 2024

    Do’s and Don’ts of Genetic Testing in Athletes. Care of the Athletic Heart. American College of Cardiology Washington USA. June 2024

    Genetic Testing in Athletes: current and future.Port Douglas Heart Meeting. June 2024

    HCM and Mavacamtem Symposium. International Clinical Cardiovascular Genetics Meeting Brisbane May 2024

    Genotype guided therapies in Inherited Arrhythmia Syndromes. International Clinical Cardiovascular Genetics Meeting Brisbane 2024

    Sports Eligibility for patients with Genetic Heart Disease. ESC Preventive Cardiology Scientific Sessions, Athens Greece. April 2024

    Sports participation in Genetic Heart Disease. Cardiac Society of Australia and New Zealand August 2023

    Genotype Associated Syndromes. Cardiac Society of Australia and New Zealand Annual Scientific Meeting August 2023

    Hypertrophic cardiomyopathy and mavacamtem. Cardiac Society of Australia and New Zealand Meeting August 2023

    Is there a role for genetics in sports cardiology?International Sports Cardiology and Sudden Death Symposium 2023

    Overview of Cardiomyopathies, International Clinical Cardiovascular Genetics Meeting 2022

    Genotype-guided therapies in Long QT Syndrome, International Clinical Cardiovascular Genetics Meeting 2022

    Genetics and Sports, Cardiac Society of Australia and New Zealand Annual Scientific Meeting 2021

    Athletes heart and sudden cardiac death; when to worry? Mater Hospital Grand Rounds 2021

    Genetic Testing: ? for all athletes, ESC Preventive Cardiology Meeting 2021

    Clinical Evaluation of Families following Sudden Cardiac Death, European Society of Cardiology Annual Scientific Meeting 2020

    Inherited Cardiomyopathies. 4 Corners of Cardiology Meeting, Melbourne, Australia 2020

    Cardiac Screening and Sudden Cardiac Death. Football Federation of Australia, Medical Workshop, 2019, Sydney, Australia

    Understanding the Athlete’s Heart. Sydney Local Health District Innovation and Research Symposium, 2019, Sydney Australia

    The Female Athlete’s Heart. Heart Foundation Women in Heart Disease Forum. 2019 Sydney, Australia

    Addressing uncertainty - does it matter which career path you choose?On The Wards 2019, Sydney, Australia.

    Update on Genetic Testing in athletes. Online Sports Heart Summit 2019

    Pitfalls in Genetic Testing: What to think about in the athlete before ordering the test. Baker Sports Cardiology Seminar 2019, Melbourne, Australia

    Molecular Autopsy after a Sudden Cardiac Death: Ready for Prime Time? Cardiac Risk in the Young Annual Conference, 2018 London, UK.

    Risk of Sports in CPVT. Heart Rhythm Congress 2018, Birmingham UK

    How to differentiate Athlete’s heart from Hypertrophic Cardiomyopathy: Cardiac Imaging in Cardiomyopathies and Athlete’s Heart Short course, St George’s University of London, 2018, London, UK.

    Understanding Sudden Cardiac Death: Welsh Cardiac Society Annual Meeting, 2018 Manchester, UK.