Anest. intenziv. Med. 2026;37(1):40-44 | DOI: 10.36290/aim.2026.010

Hyperkalemia: electrophysiological implications and their relevance to clinical practiceClinical physiology

Tlapáková K.1, 2, Astapenko D.1-6, Černý V.2, 4-6
1 Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Hradec Králové
2 Lékařská fakulta v Hradci Králové, Univerzita Karlova
3 Vojenská lékařská fakulta, Univerzita obrany v Brně
4 Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem, Masarykova nemocnice v Ústí nad Labem
5 Fakulta zdravotnických studií, Technická univerzita v Liberci
6 Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Nova Scotia, Canada

Received: March 15, 2026; Revised: March 15, 2026; Accepted: March 16, 2026; Prepublished online: March 27, 2026; Published: April 9, 2026  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Tlapáková K, Astapenko D, Černý V. Hyperkalemia: electrophysiological implications and their relevance to clinical practice. Anest. intenziv. Med. 2026;37(1):40-44. doi: 10.36290/aim.2026.010.
Download citation

References

  1. Weiss JN, Qu Z, Shivkumar K. Electrophysiology of Hypokalemia and Hyperkalemia. Circ Arrhythm Electrophysiol. 2017;10(3):e004667. doi: 10.1161/CIRCEP.116.004667. Go to original source... Go to PubMed...
  2. Lott C, Karageorgos V, Abelairas-Gomez C, Alfonzo A, Bierens J, Cantellow S, et al. European Resuscitation Council Guidelines 2025 Special Circumstances in Resuscitation. Resuscitation. 2025;215(Suppl 1):110753. Go to original source... Go to PubMed...
  3. ESC Council for Cardiology Practice. First in a series on hyperkalemia: Hyperkalemia, the sodium-potassium pump and the heart. E-J Cardiol Pract. 2016;14.
  4. El-Sherif N, Turitto G. Electrolyte disorders and arrhythmogenesis. Cardiol J. 2011;18(3):233-245.
  5. Campese VM, Adenuga G. Electrophysiological and clinical consequences of hyperkalemia. Kidney Int Suppl. 2016;6(1):16-19. doi: 10.1016/j.kisu.2016.01.003. Go to original source... Go to PubMed...
  6. Long B, Warix JR, Koyfman A. Controversies in Management of Hyperkalemia. J Emerg Med. 2018;55(2):192-205. doi: 10.1016/j.jemermed.2018.04.004. Go to original source... Go to PubMed...
  7. Alfonzo A, Harrison A, Baines R, Chu A. Treatment of acute hyperkalaemia in adults [Internet]. UK Kidney Association; 2023. Available from: http://www.ukkidney.org.
  8. Cao D, Arens AM, Chow SL, Easter SR, Hoffman RS, Lagina AT, et al. Part 10: Adult and Pediatric Special Circumstances of Resuscitation: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2025;152(16 Suppl 2):S578-S672. doi: 10.1161/CIR.0000000000001380. Go to original source... Go to PubMed...
  9. Jessen MK, Andersen LW, Djakow J, Chong NK, Stankovic N, Staehr Ch, et al. Pharmacological interventions for the acute treatment of hyperkalaemia: a systematic review and meta-analysis. Resuscitation. 2025:110489. doi: https://doi.org/10.1016/j.resuscitation.2025.110489. Go to original source... Go to PubMed...
  10. Arzayus-Patiño L, Hinojosa-Angulo AY, Rodríguez-Angulo KA, Sánchez-Caicedo MA, Benavides-Córdoba V. Utility of inhaled β2-agonists in reducing serum potassium levels in adult patients with hyperkalemia: A scoping review. PLoS One. 2026;21(2):e0342309. doi: 10.1371/journal.pone.0342309. Go to original source... Go to PubMed...
  11. Mahoney BA, Smith WA, Lo DS, Tsoi K, Tonelli M, Clase CM. Emergency interventions for hyperkalaemia. Cochrane Database Syst Rev. 2005;2005(2):CD003235. doi: 10.1002/14651858.CD003235.pub2. Go to original source... Go to PubMed...
  12. Meaney CJ, Beccari MV, Yang Y, Zhao J. Systematic Review and Meta-Analysis of Patiromer and Sodium Zirconium Cyclosilicate: A New Armamentarium for the Treatment of Hyperkalemia. Pharmacotherapy. 2017;37(4):401-411. doi: 10.1002/phar.1906. Go to original source... Go to PubMed...
  13. Fonseca C, Garagarza C, Silva G, Caires G, Marques I, Lopes JA, et al. Hyperkalemia management: a multidisciplinary expert panel's perspective on the role of new potassium binders. Heart Fail Rev. 2025;30:271-286. doi: https://doi.org/10.1007/s10741-024-10461-3. Go to original source... Go to PubMed...




Anesteziologie a intenzivní medicína

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.