In January of 2019, the Echocardiography-a journal of cardiovascular ultrasound and allied techniques published an article entitled as "Is the longitudinal deformation of the left ventricle affected by vitamin D deficiency in nondiabetics? A 2D speckletracking echocardiographic study". 1 In that research, authors evaluated left ventricular (LV) longitudinal deformation in nondiabetic patients with and without vitamin D deficiency by 2D speckle-tracking echocardiography and found that there was no statistically significant difference between two groups regrading to deformation parameters. Although some of the subjects in two groups suffered from hypertension, the authors alleviated the effect of hypertension on LV myocardial deformation by excluding subjects with increased LV mass. In another recent study, it has been shown that there is no statistically significant difference between left atrial myocardial deformation in aforementioned two groups. 2 However, in diabetic patients, the vitamin D deficiency can lead to decreased deformation of LV myocardium. 3 It can be hypothesized that in the background of a subtle myocardial dysfunction such as diabetes, vitamin D deficiency can lead to decreased myocardial deformation in subjects with normal LV ejection fraction. There are some evidences that support this hypothesis, such as improvement of myocardial deformation in geriatric subjects with vitamin D deficiency and in pediatric subjects with chronic kidney diseases. 4,5 The age and renal diseases can play as a background role that vitamin D deficiency leads to decreased myocardial deformation. It is clear that this hypothesis is different from another hypothesis that proposes epiphenomenon role for vitamin D deficiency. 1. Omidi F, Hosseinsabet A. Is the longitudinal deformation of the left ventricle affected by vitamin D deficiency in nondiabetics? A 2D speckle-tracking echocardiographic study. Echocardiography. 2019;36:67-73. 2. Akhavan-Khaleghi N, Hosseinsabet A, Mohseni-Badalabadi R. Effects of vitamin D deficiency on left atrial function as evaluated by 2D speckle-tracking echocardiography. J Clin Ultrasound. 2018;46:334-340. 3. Chen Y, Zhao CT, Zhen Z, et al. Association of myocardial dysfunction with vitamin D deficiency in patients with type 2 diabetes mellitus. J Diabetes Complications. 2014;28:286-290. 4. Briguglio M, Gianturco L, Stella D, et al. Correction of hypovitaminosis D improved global longitudinal strain earlier than left ventricular ejection fraction in cardiovascular older adults after orthopaedic surgery. J Geriatr Cardiol. 2018;15:519-522. 5. Deveci M, Aytaç MB, Altun G, et al. Effect of high-dose oral cholecalciferol on cardiac mechanics in children with chronic kidney disease.