The risk of PMI in patients with IHD was 2.3 times higher than in non- IHD and increased to 3.1 in IHD patients with elevated PTH, to 3.9 in cases with vitamin D deficiency, to 4.4 if urea > 7.5 mmol/L, and to 4.5 if Urea/Albumin ratio ≥ 2.0. Here, PTH is linked to myocardial ischemia.