Cardiac Ventricular Hinge Point Late Gadolinium Enhancement (LGE) Is Highly Prevalent and Sex-Dependent in ELITE Athletes
Main finding · HP-LGE prevalenceResult — go to the resultOdds ratio 3.07 95% CI 1.32–7.32Authors' conclusion
HP-LGE is a common finding in asymptomatic, elite athletes and is strongly associated with sex. Lower left ventricle ejection fraction is moderately associated with HP-LGE.
Study context
- Population
- Asymptomatic young elite (national-, international-, Olympic- or Paralympic-level) athletes, 40% women, median age 25.1 years40% women
- Participants
- 309 participants
- Exposure
- Athletes with hinge point LGE (HP-LGE) vs without HP-LGE; men vs women
- HP-LGEn = 124
- Outcome
- Prevalence of hinge point LGE on CMR
Main finding
HP-LGE prevalence
Odds ratio
3.07
95% CI 1.32–7.32
P = 0.010
By group
Male sex
OR 3.07 (95% CI 1.32–7.32); P = 0.010
As reported in the abstract
- Overall HP-LGE prevalence
- 124 (40%)
Observational data: associations, not effects.
Further findings
LV end-systolic volume indexed to BSA
P = 0.037
RV end-systolic volume indexed to BSA
P = 0.020
LVEF
P = 0.035
RV EF
P = 0.021
Estimated global LV extracellular volume
P = 0.015
Original publication
Cardiac Ventricular Hinge Point LGE Is Highly Prevalent and Sex-Dependent in ELITE Athletes. Circ Cardiovasc Imaging. Published 8 October 2025. doi:10. 1161/ circimaging. 124. 017765
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