Aims: Hypertrophic cardiomyopathy (HCM) is often accompanied by increased trabeculated myocardium (TM)—which clinical relevance is unknown. We aim to measure the left ventricular (LV) mass and proportion of trabeculation in an HCM population and to analyze its clinical implication. Methods and Results: We evaluated 211 patients with HCM (mean age 47.8 ± 16.3 years, 73.0% males) with cardiac magnetic resonance (CMR) studies. LV trabecular and compacted mass were measured using dedicated software for automatic delineation of borders. Mean compacted myocardium (CM) was 160.0 ± 62.0 g and trabecular myocardium (TM) 55.5 ± 18.7 g. The percentage of trabeculated myocardium (TM%) was 26.7% ± 6.4%. Females had significantly increased TM% compared to males (29.7 ± 7.2 vs. 25.6 ± 5.8, p < 0.0001). Patients with LVEF < 50% had significantly higher values of TM% (30.2% ± 6.0% vs. 26.6% ± 6.4%, p = 0.02). Multivariable analysis showed that female gender and neutral pattern of hypertrophy were directly associated with TM%, while dynamic obstruction, maximal wall thickness and LVEF% were inversely associated with TM%. There was no association between TM% with arterial hypertension, physical activity, or symptoms. Atrial fibrillation and severity of hypertrophy were the only variables associated with cardiovascular death. Multivariable analysis failed to demonstrate any correlation between TM% and arrhythmias. Conclusions: Approximately 25% of myocardium appears non-compacted and can automatically be measured in HCM series. Proportion of non-compacted myocardium is increased in female, non-obstructives, and in those with lower contractility. The amount of trabeculation might help to identify HCM patients prone to systolic heart failure.

In large cc-NUMA systems the efficient use of the different levels of the memory hierarchy is not an easy task, and the performance of multithreading implementations of the libraries decreases when the number of cores used increases, so producing an important lost of efficiency. To alleviate this problem, routines with multilevel parallelism can be developed by combining OpenMP and BLAS parallelism. In that way, higher performance can be achieved, but it is necessary to develop some autotuning technique for the appropriate selection of the number of threads to use at each level. The selection can be made through theoretical models of the execution time or some installation methodology. This work analyses some installation techniques for a two-level matrix multiplication routine, with the aim of developing a valid methodology for other linear algebra routines in large cc-NUMA systems. The basic ideas of the two-level parallelisation and the installation methodology are discussed and some experimental results are commented on.

The most computationally demanding scientific and engineering problems are solved with large parallel systems. In some cases those systems are Non-Uniform Memory Access multiprocessors made up of a large number of cores which share a hierarchically organized memory. Basic linear algebra routines of the type of BLAS typically constitute the kernel of the computation for those problems, and the efficient use of these routines in those systems would contribute to a faster solution of a large range of scientific problems. Normally some multithreaded BLAS library optimized for the system is used, but when the number of cores increases the degradation in the performance is significant, and this can produce a misuse of the large, expensive systems. This paper empirically analyses the behaviour in large NUMA systems of the matrix multiplication of the BLAS library, and its combination with OpenMP to obtain nested parallelism. With the auto-tuning method proposed in this work, a reduction in the execution time is achieved with respect to the matrix multiplication of the library.