Limitations
A limited number of patients could be included in our study. Our study
population may not fully reflect the target population due to the
pandemic process, the inclusion of patients in a limited time frame (it
may have helped clarify the findings.), and the recruitment of only
patients referred to cardiology.
Conclusion Our study showed that PTH might adversely affect diastolic functions (A
wave, E/A ratio) and endothelial functions (carotid IMT) in
premenopausal women with VDD, independent of other confounding risk
factors. We can state that our results will contribute to the literature
since conflicting information in the literature and confounding factors
are included in these studies. The recent literature is insufficient,
and there is a need for further, multicentric studies with advanced
subgroup analyses and longer follow‐up periods also with other
multi-modality imaging methods.
As a result of our study’s findings, an awareness should also be created
regarding possible cardiac risks in high parathyroid hormone in VDD.