Potassium
17 benefits mapped to clinical evidence across supplements.
Dose per serving from products
3,062 products in our catalogue print how much Potassium a serving holds.
Most common: 50 mg to 100 mg, 29% of 3,062 products.
| Dose per serving | Products |
|---|---|
| 2.5 mg or less | 86 |
| 2.5 mg to 5 mg | 76 |
| 5 mg to 10 mg | 104 |
| 10 mg to 25 mg | 311 |
| 25 mg to 50 mg | 451 |
| 50 mg to 100 mg | 881 |
| 100 mg to 250 mg | 819 |
| 250 mg to 500 mg | 261 |
| over 500 mg | 73 |
Dose per serving from research
59 study groups in 43 studies say how much Potassium participants took a day.
These are the doses the studies gave. They are not a recommendation.
Most common: 50 mmol to 100 mmol, 59% of 59 study groups.
| Daily dose | Study groups |
|---|---|
| 10 mmol or less | 2 |
| 10 mmol to 25 mmol | 8 |
| 25 mmol to 50 mmol | 11 |
| 50 mmol to 100 mmol | 35 |
| 100 mmol to 250 mmol | 3 |
Commonly used together
26 of 100 study groups took Potassium with something else. Shown: what 3 or more different studies gave.
What was given together, not what works together.
| Taken with | Study groups |
|---|---|
| Calcium | 10 |
| Magnesium | 7 |
| Electrolytes | 5 |
Benefit Evidence
Myocardial protection +GIK
Potassium balance +BP
Cell pump/oxidative stress
Acid suppression +93%
Bowel function / potassium
Diarrhea/ORS: stool -46%
Research sources
Hydration (515)
- Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial
PubMed ID: 39215972
Direct randomized trial of potassium supplementation thresholds (K+ management) with clinical outcomes â strong, direct evidence about K+ management strategies and electrolyte balance.
- A novel clinical-imaging nomogram for predicting primary aldosteronism in patients with hypertension
PubMed ID: 37488299
24âhour urine potassium and hypokalemia history were key predictors in a diagnostic model â shows clinical importance of K+ measurement for electrolyte balance.
- A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone
PubMed ID: 37313750
Study showed that AâMPD removed more potassium than manual PD, impacting shortâterm K balance in urgent start PD patients.
- DIALIZE China: A Phase IIIb, Randomized, Placebo-Controlled Study to Reduce Predialysis Hyperkalemia With Sodium Zirconium Cyclosilicate in Chinese Patients
PubMed ID: 37385905
SZC randomized trial in hemodialysis patients effectively maintained predialysis K within target range.
- Effects of a temporal self-regulation theory-based intervention on self-management in hemodialysis patients: A randomized controlled trial
PubMed ID: 37976671
Behavioral program in hemodialysis patients reduced interdialytic weight gain (fluid) while reporting small effects on Kâties to fluid/electrolyte balance.
- Empowerment-based nutrition interventions on blood pressure: a randomized comparative effectiveness trial
PubMed ID: 38026295
Interventions increased urinary potassium and altered BP, indicating meaningful changes in electrolyte intake/excretion.
- The effects of functional foods mixture on inflammatory cytokines and biochemical findings in hospitalized patients with COVID-19: a randomized double-blind controlled trial
PubMed ID: 37408032
Functional-food soup increased serum K significantly (and reduced inflammation) â direct electrolyte change.
- Comparing the effects of mHealth app use and face-to-face training on the clinical and laboratory parameters of dietary and fluid intake adherence in hemodialysis patients: a randomized clinical trial
PubMed ID: 37386428
Hemodialysis adherence program produced within-group decreases in serum K â direct electrolyte outcome.
- Efficacy and Safety of Low-dose Spironolactone for Chronic Kidney Disease in Type 2 Diabetes
PubMed ID: 36916985
Spironolactone in CKD produced modest but monitored increases in serum K â direct electrolyte-impact evidence.
- Oral Lipid Nanocrystal Amphotericin B for Cryptococcal Meningitis: A Randomized Clinical Trial
PubMed ID: 37606364
Oral amphotericin caused fewer severe K lab abnormalities vs IV formulation â electrolyte safety relevance.
- Pharmacokinetics and pharmacodynamics of finerenone in patients with chronic kidney disease and type 2 diabetes: Insights based on FIGARO-DKD and FIDELIO-DKD
PubMed ID: 38037539
Finerenone exposure and dose-titration modeling explicitly focused on potassium trajectories/hyperkalaemia risk.
- Natriuresis-guided diuretic therapy in acute heart failure: a pragmatic randomized trial
PubMed ID: 37640861
Natriuresis-guided therapy trended toward greater hypokalemia â relevant to electrolyte monitoring and management.
- Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial
PubMed ID: 37055566
Salt-substitute increased dietary K, measurably raised serum K and produced clinical effects â strong evidence for altering electrolyte balance.
- Efficacy and safety of aldosterone synthase inhibition with and without empagliflozin for chronic kidney disease: a randomised, controlled, phase 2 trial
PubMed ID: 38109916
Aldosterone synthase inhibitor dose-dependently increased biochemical hyperkalaemia â clear effect on electrolyte balance.
- Cost-Effectiveness of a Household Salt Substitution Intervention: Findings From 20 995 Participants of the Salt Substitute and Stroke Study
PubMed ID: 35311346
Salt substitute trial explicitly added potassium at population scale, demonstrating major electrolyte substitution effects with clinical benefit.
- Efficacy and safety of a low-sodium diet and spironolactone in patients with stage 1-3a chronic kidney disease: a pilot study
PubMed ID: 35247964
CKD sodium restriction / spironolactone trial monitored serum K and urinary sodium â addresses electrolyte safety and balance.
- Ultrasound dynamic monitoring of IVCD to guide application of CRRT in patients with renal failure combined with acute heart failure
PubMed ID: 35982101
CRRT study produced large, intentional serum K reductions and actively managed electrolytes â directly about electrolyte control.
- Comparative antiplatelet effects of chlorthalidone and hydrochlorothiazide
PubMed ID: 36067089
Clear demonstration that common thiazide diuretics cause significant serum K decreases â important evidence about disturbances in electrolyte balance.
- Reduction in the magnitude of serum potassium elevation in combination therapy with esaxerenone (CS-3150) and sodium-glucose cotransporterâ2 inhibitor in patients with diabetic kidney disease: Subanalysis of two phaseâIII studies
PubMed ID: 35199478
SGLT2 inhibitors reduced incidence/magnitude of MRBâinduced hyperkalemia â strong evidence for medicationâmediated K stabilization.
- Potassium responses to sodium zirconium cyclosilicate in hyperkalemic hemodialysis patients: post-hoc analysis of DIALIZE
PubMed ID: 35135481
SZC robustly normalized and controlled serum potassium in hyperkalemic hemodialysis patients â direct, strong evidence for electrolyte balance control.
- Comparison potassium sodium hydrogen citrate with sodium bicarbonate in urine alkalization: a prospective crossover-controlled trial
PubMed ID: 36261757
Potassiumâsodiumâhydrogen citrate altered urinary chemistry and systemic acidâbase, reflecting electrolyte/anion effects.
- Short-Term Changes in Serum Potassium and the Risk of Subsequent Vascular Events and Mortality: Results from a Randomized Controlled Trial of ACE Inhibitors
PubMed ID: 35896277
ACE-inhibitor run-in analysed short-term potassium rises and continuation outcomes; major dataset about K changes in therapy.
- Patiromer for the management of hyperkalemia in heart failure with reduced ejection fraction: the DIAMOND trial
PubMed ID: 35900838
Patiromer directly and significantly reduced hyperkalaemia events and stabilized serum potassiumâstrong evidence for electrolyte balance.
- OUTpatient intravenous LASix Trial in reducing hospitalization for acute decompensated heart failure (OUTLAST)
PubMed ID: 34170908
IV furosemide markedly increased urine output and reduced readmissions; reported small serum K+ decreases â direct fluidâbalance intervention.
- A Text Messaging Intervention for Dietary Behaviors for People Receiving Maintenance Hemodialysis: A Feasibility Study of KIDNEYTEXT
PubMed ID: 33421456
Dietary program reported reductions in reported dietary potassium intake in hemodialysis patients â direct dietary electrolyte management.
- Finerenone Dose-Exposure-Serum Potassium Response Analysis of FIDELIO-DKD Phase III: The Role of Dosing, Titration, and Inclusion Criteria
PubMed ID: 34786651
Finerenone produced doseâdependent serum potassium increases and hyperkalemia riskâdirectly central to electrolyte balance.
- Randomised controlled trial of a smartphone application-based dietary self-management program on haemodialysis patients
PubMed ID: 33377565
Dietary selfâmanagement reduced serum K in HD patients â effective electrolyte control.
- Effects of canagliflozin on serum potassium in people with diabetes and chronic kidney disease: the CREDENCE trial
PubMed ID: 34423370
Canagliflozin reduced hyperkalaemia events and need for K binders in CKD â meaningful effect on potassium outcomes.
- Oral sodium bicarbonate in people on haemodialysis: a randomised controlled trial
PubMed ID: 34674667
Oral bicarbonate reduced interâdialytic K gain and hyperkalaemia frequency in HD patients â impacts potassium handling.
- Patiromer and Spironolactone in Resistant Hypertension and Advanced CKD: Analysis of the Randomized AMBER Trial
PubMed ID: 35369022
Patiromer controlled serum K enabling RAAS therapy â direct intervention to maintain K homeostasis.
- Effect of dynamic stratified potassium supplementation in elderly patients with chronic heart failure and moderate to severe hypokalaemia-a randomised, controlled trial
PubMed ID: 34686091
Comparison of IV vs oral K showed faster normalization and different dosing â directly about restoring electrolyte balance.
- Effect of senna glycoside on serum potassium levels among patients on maintenance hemodialysis: A randomized controlled trial
PubMed ID: 38318690
Senna reduced predialysis serum K and hyperkalaemia prevalence â relevant to K management.
- Effects of a reduced-sodium added-potassium salt substitute on blood pressure in rural Indian hypertensive patients: a randomized, double-blind, controlled trial
PubMed ID: 33782684
Salt substitute increased urinary K and lowered BP â clear effect on wholeâbody Na/K balance.
- Feasibility of Low-Sodium, High-Potassium Processed Foods and Their Effect on Blood Pressure in Free-Living Japanese Men: A Randomized, Double-Blind Controlled Trial
PubMed ID: 34684498
Dietary intervention increased urinary K excretion and reduced urinary Na/K ratio â direct electrolyte balance change.
- Effect of Salt Substitution on Cardiovascular Events and Death
PubMed ID: 34459569
Large saltâsubstitute trial increased K intake populationâwide without large increases in serious hyperkalemia while reducing CV events â supports safe electrolyte modification.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): results in the pre-specified subgroup with heart failure
PubMed ID: 32452085
Patiromer reduced hyperkalemia incidence and allowed patients to continue potassiumâraising therapy (spironolactone) â strong evidence for clinical K management.
- Clinical outcomes of laparoscopic-based renal denervation plus adrenalectomy vs adrenalectomy alone for treating resistant hypertension caused by unilateral aldosterone-producing adenoma
PubMed ID: 32812324
Treatment of primary aldosteronism normalized serum potassium in both arms by 12 months â clear restoration of electrolyte balance in secondary hyperaldosteronism.
- Correction of serum potassium with sodium zirconium cyclosilicate in Japanese patients with hyperkalemia: a randomized, dose-response, phase 2/3 study
PubMed ID: 32779057
Randomized RCT: sodium zirconium cyclosilicate rapidly and safely reduced serum K and achieved normokalemia in most patients â direct, highâquality evidence for restoring K balance.
- Effect of salt substitution on community-wide blood pressure and hypertension incidence
PubMed ID: 32066973
Household salt substitution with KCl increased urinary K and lowered BP â dietary K intervention that changed electrolyte excretion at population level.
- Phase 1 Studies to Define the Safety, Tolerability, and Pharmacokinetic and Pharmacodynamic Profiles of the Nonsteroidal Mineralocorticoid Receptor Antagonist Apararenone in Healthy Volunteers
PubMed ID: 32820619
Apararenone altered urinary Na+/K+ excretion ratio â demonstrates drugâmediated changes in sodium/potassium handling relevant to fluid/electrolyte balance.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK explicitly administers potassium and affected plasma K and metabolic balance â direct electrolyte intervention.
- Reduced Diuretic Dose in Patients Treated With Eplerenone: Data From the EPHESUS Trial
PubMed ID: 32354280
Eplerenone reduced loop diuretic requirements postâMI â influences fluid handling and Kâsparing status.
- Efficacy and safety of early ultrafiltration in patients with acute decompensated heart failure with volume overload: a prospective, randomized, controlled clinical trial
PubMed ID: 33054727
Early ultrafiltration produced marked fluid/weight removal and BNP reduction â directly relevant to fluid balance management.
- Early detection of diabetic kidney disease by urinary proteomics and subsequent intervention with spironolactone to delay progression (PRIORITY): a prospective observational study and embedded randomised placebo-controlled trial
PubMed ID: 32135136
Spironolactone increased hyperkalemia incidence â directly relevant to electrolyte balance and safety.
- Emergency Potassium Normalization Treatment Including Sodium Zirconium Cyclosilicate: A Phase II, Randomized, Double-blind, Placebo-controlled Study (ENERGIZE)
PubMed ID: 32149451
SZC added to insulin/glucose provided incremental early K lowering in ED hyperkalemia care â strong relevance.
- Efficacy and safety of sodium zirconium cyclosilicate for hyperkalaemia: the randomized, placebo-controlled HARMONIZE-Global study
PubMed ID: 31944628
SZC produced rapid, substantial, and sustained reductions in serum potassium â direct, highârelevance electrolyte therapy.
- Esaxerenone (CS-3150) in Patients with Type 2 Diabetes and Microalbuminuria (ESAX-DN): Phase 3 Randomized Controlled Clinical Trial
PubMed ID: 33239409
Esaxerenone use raised clinically relevant instances of hyperkalemia â important electrolyte safety signal.
- Comparative effectiveness of torasemide versus furosemide in symptomatic therapy in heart failure patients: Preliminary results from the randomized TORNADO trial
PubMed ID: 31909470
Switching to torasemide improved symptomatic and fluidâstatus outcomes vs furosemide; loop diuretics strongly affect fluid and K handling.
- Clinical research on individualized hemodialysis preventing unconventional hypotension in diabetic nephropathy patient
PubMed ID: 31665956
Individualized hemodialysis reduced intradialytic hypotension and improved dryâweight attainmentâimportant dialysis fluidâbalance outcomes.
- CA125-Guided Diuretic Treatment Versus Usual Care in Patients With Acute Heart Failure and Renal Dysfunction
PubMed ID: 31422111
CA125âguided diuretic dosing increased diuretic doses and urine volumeâdirect effect on fluid balance.
- A self-monitoring urinary salt excretion level measurement device for educating young women about salt reduction: A parallel randomized trial involving two groups
PubMed ID: 31058457
Home urinary Na/K monitoring significantly lowered the 24âh urinary Na/K ratioâdirect evidence of improved dietary electrolyte balance.
- Patiromer for Treatment of Hyperkalemia in the Emergency Department: A Pilot Study
PubMed ID: 31599043
Oral patiromer lowered serum K within 2 hours in ED patients with severe hyperkalemia (pilot)âdirect but smaller/sustained effect limited in this study.
- Efficacy and safety of sodium zirconium cyclosilicate in patients with baseline serum potassium level ⼠5.5 mmol/L: pooled analysis from two phase 3 trials
PubMed ID: 31791288
Sodium zirconium cyclosilicate produced rapid, clinically meaningful reductions in serum potassiumâdirect, high-impact evidence for restoring electrolyte balance.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): a phase 2, randomised, double-blind, placebo-controlled trial
PubMed ID: 31533906
Patiromer markedly reduced potassium-related treatment interruptionsâdirectly facilitates maintenance of normal serum potassium in CKD/hypertensive patients.
- Potassium infusion increases the likelihood of conversion of recent-onset atrial fibrillation-A single-blinded, randomized clinical trial
PubMed ID: 31986288
IV KCl infusion produced potassium rises linked to higher cardioversion rates; demonstrates impact of potassium modulation on physiology.
- A Phase 3b, Randomized, Double-Blind, Placebo-Controlled Study of Sodium Zirconium Cyclosilicate for Reducing the Incidence of Predialysis Hyperkalemia
PubMed ID: 31201218
Sodium zirconium cyclosilicate significantly increased the proportion of dialysis patients with predialysis K in the target rangeâdirect, strong evidence on potassium/electrolyte control.
- Dissolution therapy versus shock wave lithotripsy for radiolucent renal stones in children: a prospective study
PubMed ID: 24679880
Oral potassium citrate provides potassium supplementation and modifies urinary chemistry, supporting electrolyte/mineral management in stone disease.
- Evaluation of an individualized dose titration regimen of patiromer to prevent hyperkalaemia in patients with heart failure and chronic kidney disease
PubMed ID: 29369537
Patiromer titration maintained serum potassium within target range in HF/CKD patientsâdirect electrolyte-modulating intervention.
- Single- and multiple-dose escalation study to assess pharmacokinetics, pharmacodynamics and safety of oral esaxerenone in healthy Japanese subjects
PubMed ID: 29688582
Esaxerenone produced dose-related increases in serum K and changes in urinary Na+/K+, demonstrating direct effects on potassium handling (drug-induced hyperkalaemia risk).
- Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers
PubMed ID: 29381789
Methodological paper showing common dietary tools misestimate potassium intake â important for assessing electrolyte sufficiency in studies.
- Spironolactone to increase natriuresis in congestive heart failure with cardiorenal syndrome
PubMed ID: 29587582
Monitored potassium changes with spironolactone in acute HF; relevant to electrolyte safety.
- Interaction Between the Sodium-Glucose-Linked Transporter 2 Inhibitor Dapagliflozin and the Loop Diuretic Bumetanide in Normal Human Subjects
PubMed ID: 29440005
Shows diuretics/drug combos alter urinary K+ excretion and reduce serum K â strong mechanistic electrolyte evidence.
- Long-term effects of patiromer for hyperkalaemia treatment in patients with mild heart failure and diabetic nephropathy on angiotensin-converting enzymes/angiotensin receptor blockers: results from AMETHYST-DN
PubMed ID: 29767459
Longâterm patiromer maintained serum K in CKD/diabetes patients â strong evidence for electrolyte balance management.
- Effect of Salt Intake on the Serum Cardiotrophin-1 Levels in Chinese Adults
PubMed ID: 30408810
Urinary Na/K ratio related to BP and CTâ1 changes â informative about sodium/potassium balance in physiology.
- Impact of long-term potassium supplementation on thiazide diuretic-induced abnormalities of glucose and uric acid metabolisms
PubMed ID: 29497150
Trial of oral potassium chloride supplementation directly assesses potassium dosing and serum potassium outcomes.
- Effect of Patiromer in Hyperkalemic Patients Taking and Not Taking RAAS Inhibitors
PubMed ID: 30103622
Patiromer robustly lowered and maintained serum potassium and returned many hyperkalemic patients to target â direct electrolyteâbalance evidence.
- Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy
PubMed ID: 29753370
ARB+spironolactone raised serum potassium and increased hyperkalemia-related dropouts â demonstrates clinically important electrolyte effects.
- Effects of salt substitute on home blood pressure differs according to age and degree of blood pressure in hypertensive patients and their families
PubMed ID: 29400576
HighâK salt substitute is a direct dietary intervention that increases potassium intake and affects electrolyte balance and BP.
- A randomized, double-blind clinical trial of canrenone vs hydrochlorothiazide in addition to angiotensin II receptor blockers in hypertensive type 2 diabetic patients
PubMed ID: 30197501
HCTZ lowered potassium while canrenone did not â clear demonstration of drug effects on potassium homeostasis.
- A randomized trial of the efficacy and safety of azilsartan medoxomil combined with chlorthalidone
PubMed ID: 30175930
Adding azilsartan to chlorthalidone greatly reduced diureticâassociated hypokalemia â direct evidence of K+ balance effects.
- Crystalloid versus colloid fluids for reduction of postoperative ileus after abdominal operation under combined general and epidural anesthesia
PubMed ID: 28774488
Perioperative use of colloid vs crystalloid altered serum potassium and ileus duration â shows fluid therapy impacts potassium and fluid balance.
- Effect of transfusion of washed red blood cells on serumpotassium level in hemodialysis patients
PubMed ID: 28425272
Observed postâtransfusion potassium decreases in dialysis patients â demonstrates changes in serum K+ with clinical interventions.
- An exploratory analysis of the competing effects of aggressive decongestion and high-dose loop diuretic therapy in the DOSE trial
PubMed ID: 28392080
DOSE trial evaluated diuretic strategies and net fluid output (decongestion) â directly relevant to fluid balance, which interacts with K+.
- LY3127760, a Selective Prostaglandin E4 (EP4) Receptor Antagonist, and Celecoxib: A Comparison of Pharmacological Profiles
PubMed ID: 28857461
LY3127760 reduced 24âh urinary potassium excretion substantially in healthy volunteersâdemonstrates effect on potassium handling.
- Low-dose tolvaptan PK/PD: comparison of patients with hyponatremia due to syndrome of inappropriate antidiuretic hormone secretion to healthy adults
PubMed ID: 28803333
Tolvaptan increased free water clearance and altered serum sodiumâimportant to body fluid balance (indirect to K homeostasis).
- Validation and Assessment of Three Methods to Estimate 24-h Urinary Sodium Excretion from Spot Urine Samples in High-Risk Elder Patients of Stroke from the Rural Areas of Shaanxi Province
PubMed ID: 29019912
Spot urine Na/K ratio correlated reasonably with 24âh Na/K; relevant metric for overall electrolyte balance.
- Evaluation of the Potential for Drug Interactions With Patiromer in Healthy Volunteers
PubMed ID: 28585859
Patiromer program: a GI potassium binder that promotes fecal K+ excretionâdirectly manipulates potassium balance.
- Significance of serum potassium level monitoring during the course of post-operative rehabilitation in patients with hypokalemia
PubMed ID: 24202399
Active monitoring and early correction of low potassium resulted in normalized serum K and improved clinical recovery, directly demonstrating electrolyte repletion benefits.
- Genetic variation at glucose and insulin trait loci and response to glucose-insulin-potassium (GIK) therapy: the IMMEDIATE trial
PubMed ID: 25135348
GIK infusion produced reproducible plasma potassium changes over 12 h in ACS patients and demonstrated genetic modifiers â direct measurements of K handling.
- Potassium handling with dual renin-angiotensin system inhibition in diabetic nephropathy
PubMed ID: 24408116
Spironolactone and losartan arms produced different mean serum K levels in diabetic nephropathy patients â direct evidence of drug effects on potassium balance.
- Regional variation in patients and outcomes in the Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist (TOPCAT) trial
PubMed ID: 25406305
TOPCAT regional analysis showed spironolactone increased hyperkalemia rates in some regions â documents impact of therapies on potassium homeostasis in a large trial.
- Patiromer in patients with kidney disease and hyperkalemia receiving RAAS inhibitors
PubMed ID: 25415805
Patiromer clearly and substantially reduced serum potassium and prevented recurrent hyperkalemia â direct, highâquality evidence of manipulating K+ balance.
- Sodium zirconium cyclosilicate in hyperkalemia
PubMed ID: 25415807
ZSâ9 produced rapid, dose-dependent reductions in serum potassium and maintained normokalemia â directly manipulates electrolyte balance (though as a binder lowering K).
- Prevention of contrast-induced nephropathy with Na/K citrate
PubMed ID: 23349296
Oral Na/K citrate is an explicit electrolyte intervention; trial showed clinical benefit and is directly relevant to electrolyte balance.
- Effectiveness and safety of spironolactone for systolic heart failure
PubMed ID: 24035170
Realâworld spironolactone increased hyperkalemia risk, highlighting impact on electrolyte balance in practice.
- Prevention of hemolysis in blood samples collected from intravenous catheters
PubMed ID: 23391635
Demonstrates preanalytical factors that can artifactually raise measured potassium â important for accurate electrolyte assessment.
- Race influences the safety and efficacy of spironolactone in severe heart failure
PubMed ID: 23940307
Spironolactone-associated rise in potassium and hyperkalemia incidence â high relevance to electrolyte balance.
- Effect of aliskiren on post-discharge outcomes among diabetic and non-diabetic patients hospitalized for heart failure: insights from the ASTRONAUT trial
PubMed ID: 23999456
Aliskiren trial reported trends toward higher severe hyperkalemia in diabetics â relevant to electrolyte risk stratification.
- A large-scale cluster randomized trial to determine the effects of community-based dietary sodium reduction--the China Rural Health Initiative Sodium Reduction Study
PubMed ID: 24176436
Salt-substitute intervention (KCl) designed to increase dietary K+ and lower Na+ â directly targets electrolyte balance (protocol).
- Clinical effects and safety of different strategies for administering intravenous diuretics in acutely decompensated heart failure: a randomised clinical trial
PubMed ID: 23793945
Marked differences in hypokalemia rates between diuretic regimens demonstrate direct effects on electrolyte balance.
- Incidence, determinants, and prognostic significance of hyperkalemia and worsening renal function in patients with heart failure receiving the mineralocorticoid receptor antagonist eplerenone or placebo in addition to optimal medical therapy: results from the Eplerenone in Mild Patients Hospitalization and Survival Study in Heart Failure (EMPHASIS-HF)
PubMed ID: 24297687
Large trials quantifying serum K thresholds and incidences â strong evidence about systemic K+ changes with therapy.
- Safety and efficacy of eplerenone in patients at high risk for hyperkalemia and/or worsening renal function: analyses of the EMPHASIS-HF study subgroups (Eplerenone in Mild Patients Hospitalization And SurvIval Study in Heart Failure)
PubMed ID: 23810881
Eplerenone increased serum potassium and hyperkalemia events â directly informs electrolyte balance implications of therapies.
- Partial genetic deficiency in tissue kallikrein impairs adaptation to high potassium intake in humans
PubMed ID: 23760292
Genetic study of kallikrein showed impaired renal adaptation to K load and higher plasma K, directly about electrolyte handling.
- A randomised controlled trial evaluating the effect of potassium supplementation on vascular function and the renin-angiotensin-aldosterone system
PubMed ID: 24048291
Oral KCl increased renin/aldosterone despite lowering BP â shows homeostatic electrolyte/RAAS effects of K supplementation.
- Safety and tolerability of the novel non-steroidal mineralocorticoid receptor antagonist BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double-blind trial
PubMed ID: 23713082
BAY 94â8862 produced smaller K increases than spironolactoneâimportant for therapeutic electrolyte safety.
- Effect of health contract intervention on renal dialysis patients in Korea
PubMed ID: 23107436
Intervention reduced interdialytic weight gain (fluid) and lowered serum K in dialysis patientsâdirectly relevant to fluid management.
- Efficacy and hemodynamic outcome of prolonged intermittent renal replacement therapy (PIRRT) in critically ill patients: a preliminary report
PubMed ID: 22574560
PIRRT lowered serum potassium significantly in AKI patientsâdemonstrates clinical control of electrolyte balance.
- Increased dietary sodium is independently associated with greater mortality among prevalent hemodialysis patients
PubMed ID: 22418981
Na:K dietary ratios independently associated with mortality in dialysis patientsâstrong evidence that K balance matters clinically.
- Net endogenous acid production is associated with a faster decline in GFR in African Americans
PubMed ID: 22475819
Dietary potassium estimated and linked to NEAP and kidney outcomesâsupports role of potassium intake in electrolyte/acidâbase physiology.
- The safety and tolerability of spironolactone in patients with mild to moderate chronic kidney disease
PubMed ID: 21950312
Spironolactone addâon in CKD led to measurable rises in potassium (hyperkalemia events), directly relevant to electrolyte balance and safety.
- Gluco- and mineralocorticoid biological effects of a 7-day treatment with low doses of hydrocortisone and fludrocortisone in septic shock
PubMed ID: 22584796
Hydrocortisone+fludrocortisone produced a modest fall in plasma K and clear sodium retention (urinary Na/K ratio drop), demonstrating mineralocorticoid effects on fluid balance.
- Clinical significance of incident hypokalemia and hyperkalemia in treated hypertensive patients in the antihypertensive and lipid-lowering treatment to prevent heart attack trial
PubMed ID: 22431578
Large observational evidence linking both hypo- and hyperkalemia to worse outcomes highlights clinical importance of maintaining electrolyte balance.
- Effects of sodium intake and diet on racial differences in urinary potassium excretion: results from the Dietary Approaches to Stop Hypertension (DASH)-Sodium trial
PubMed ID: 23157935
Robust feeding trial showing precise differences in 24âh urinary potassium excretion by diet, sodium level and race â strong direct evidence about potassium/electrolyte handling.
- The effect of patient-controlled intravenous analgesia on postoperative hypokalemia in patients undergoing laparoscopic cholecystectomy
PubMed ID: 21863389
RCT evidence of higher serum potassium and reduced hypokalemia incidence postoperatively â clinically meaningful electrolyte effect.
- The use of plasma aldosterone and urinary sodium to potassium ratio as translatable quantitative biomarkers of mineralocorticoid receptor antagonism
PubMed ID: 22017794
MR antagonism altered urinary Na+/K+ acutely and aldosterone chronicallyâclear effects on electrolyte (Na/K) balance.
- Long-term results of a prospective, randomized trial comparing retroperitoneoscopic partial versus total adrenalectomy for aldosterone producing adenoma
PubMed ID: 21419437
Surgical correction of primary aldosteronism normalized aldosterone and abolished need for K supplements, improving BP/volume status.
- Analysis of baseline parameters in the HALT polycystic kidney disease trials
PubMed ID: 22205355
ADPKD baseline data document associations of serum and urine potassium with renal functionârelevant to electrolyte homeostasis.
- Evaluation of the efficacy and safety of RLY5016, a polymeric potassium binder, in a double-blind, placebo-controlled study in patients with chronic heart failure (the PEARL-HF) trial
PubMed ID: 21208974
RLY5016 is a K+âbinding polymer that significantly lowered serum potassium and reduced hyperkalaemia incidence â direct, highâquality evidence on potassium/electrolyte balance.
- Angiotensin converting enzyme inhibitor use soon after renal transplantation: a randomized, double-blinded placebo-controlled safety study
PubMed ID: 21158922
ACE inhibitor post-transplant use associated with potassium elevations/hyperkalaemia â directly relevant to electrolyte balance and safety.
- Combined versus sequential diuretic treatment of ascites in non-azotaemic patients with cirrhosis: results of an open randomised clinical trial
PubMed ID: 19570764
Combined diuretic therapy including potassium-sparing agent influenced ascites resolution â directly relevant to body fluid/volume management.
- Haemodynamic effects of rolofylline in the treatment of patients with heart failure and impaired renal function
PubMed ID: 20823097
Rolofylline increased urine output and renal excretion of sodium and potassium â directly relevant to fluid and electrolyte handling.
- Beta2-adrenergic receptor genotype affects the renin-angiotensin-aldosterone system response to the Dietary Approaches to Stop Hypertension (DASH) dietary pattern
PubMed ID: 20519561
DASH diet increased urinary potassium and changed RAAS activity â direct evidence of altered potassium handling with dietary change.
- Increased serum potassium affects renal outcomes: a post hoc analysis of the Reduction of Endpoints in NIDDM with the Angiotensin II Antagonist Losartan (RENAAL) trial
PubMed ID: 20882268
Demonstrates that small increases in serum potassium during ARB therapy are common and linked to outcomes â directly about potassium homeostasis.
- Effective antihypertensive strategies for high-risk patients with diabetic nephropathy
PubMed ID: 21030879
ACEI-based regimen improved renal markers but required potassium monitoring due to hyperkalemia events.
- Impact of baseline renal function on the efficacy and safety of aliskiren added to losartan in patients with type 2 diabetes and nephropathy
PubMed ID: 20693353
Aliskiren added to ARB increased hyperkalemia rates in CKD across stages â directly relevant to electrolyte imbalance risks.
- Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study
PubMed ID: 20101007
DASH diet increased urinary potassium and improved BP and other biomarkers, supporting dietary potassium's role in electrolyte balance.
- Supramaximal dose of candesartan in proteinuric renal disease
PubMed ID: 19211712
ARB overdosing caused hyperkalemia in renal patients, directly demonstrating disruptions in electrolyte balance are clinically important.
- Antihypertensive efficacy and tolerability of aliskiren/hydrochlorothiazide (HCT) single-pill combinations in patients who are non-responsive to HCT 25 mg alone
PubMed ID: 19245300
Adding aliskiren to HCT reduced hypokalemia incidence compared with HCT aloneâdirect electrolyte outcome reported.
- Racial differences in potassium homeostasis in response to differences in dietary sodium in girls
PubMed ID: 20007307
Direct study of potassium excretion/retention under controlled dietsâclear evidence relevant to electrolyte balance.
- Inability of healthy subjects to deposit potassium during hypokinesia and potassium supplementation
PubMed ID: 19178877
Direct potassium supplementation altered plasma, urinary and fecal K handling â strong evidence of effects on electrolyte balance.
- Differential associations of dietary sodium and potassium intake with blood pressure: a focus on pulse pressure
PubMed ID: 19462490
Dietary potassium influences extracellular fluid and BP regulationâpopulation data consistent with fluid-balance effects.
- Racial differences in urinary potassium excretion
PubMed ID: 18579642
Documented differences in urinary potassium excretion by race/dietârelevant to population K balance and dietary recommendations.
- [Study on safety and efficacy of concentrated potassium chloride infusions in critically ill patients with hypokalemia]
PubMed ID: 18611341
Randomized study directly evaluating methods of K repletion in hypokalemic ICU patientsâstrong, direct evidence for restoring electrolyte balance.
- A new formulation of tolevamer, a novel nonantibiotic polymer, is safe and well-tolerated in healthy volunteers: a randomized phase I trial
PubMed ID: 18341677
Phase I study measured serum and urinary K with tolevamer; showed small changes in urinary K excretionâdirectly pertains to K handling and balance.
- Cholesteryl ester transfer protein inhibition, high-density lipoprotein raising, and progression of coronary atherosclerosis: insights from ILLUSTRATE (Investigation of Lipid Level Management Using Coronary Ultrasound to Assess Reduction of Atherosclerosis by CETP Inhibition and HDL Elevation)
PubMed ID: 19029466
Torcetrapib produced a small but highly significant lowering of serum potassium in a large RCTâclear evidence of drug-induced potassium perturbation (electrolyte imbalance).
- Telmisartan to prevent recurrent stroke and cardiovascular events
PubMed ID: 18753639
Telmisartan increased rates of K>5.5 mmol/L modestly â safety signal relevant to K balance.
- A propensity-matched study of low serum potassium and mortality in older adults with chronic heart failure
PubMed ID: 18691778
Observational study linking low serum K to higher mortality in HF highlights clinical importance of maintaining normal K.
- Serum potassium changes with initiating low-carbohydrate compared to a low-fat weight loss diet in type 2 diabetes
PubMed ID: 18176291
Diet initiation produced small serum K drops and some participants required supplementation, demonstrating the importance of maintaining K balance.
- Genetic and dietary control of plasma tissue kallikrein secretion and urinary kinins exretion in man
PubMed ID: 18327081
LowâNa/highâK diet altered kallikrein/kinin systems related to renal handling of salt and fluid; indicates effect on fluid balance physiology.
- A pilot study of potassium supplementation in the treatment of hypokalemic patients with rheumatoid arthritis: a randomized, double-blinded, placebo-controlled trial
PubMed ID: 18468955
Direct oral potassium supplementation corrected hypokalemia and correlated with clinical improvement in RA patients â strong evidence of electrolyte repletion benefit.
- Effects of multiple oral doses of an A1 adenosine antagonist, BG9928, in patients with heart failure: results of a placebo-controlled, dose-escalation study
PubMed ID: 17692744
Drug increased sodium excretion while sparing potassium excretion, showing preserved potassium balance in the context of natriuresis.
- Coadministration of estradiol/drospirenone and indomethacin does not cause hyperkalemia in healthy postmenopausal women: a randomized open-label crossover study
PubMed ID: 17463217
Coadministration of drugs that might affect K produced no change in plasma potassium, supporting stability of K under those conditions.
- Changes in body composition with weight loss: obese subjects randomized to surgical and medical programs
PubMed ID: 17495195
Total body potassium tracking during weight loss provides physiological evidence about whole-body potassium homeostasis.
- Effects of torcetrapib in patients at high risk for coronary events
PubMed ID: 17984165
Large outcome trial showing torcetrapib-associated potassium decreases and clinical consequencesâhighly relevant to electrolyte homeostasis.
- Pharmacokinetics and pharmacodynamics of drospirenone-estradiol combination hormone therapy product coadministered with hydrochlorothiazide in hypertensive postmenopausal women
PubMed ID: 17906162
Direct evidence that DRSP/E2 raised serum potassium and countered thiazide-induced hypokalemiaâstrongly relevant to electrolyte balance.
- Relation between dose of loop diuretics and outcomes in a heart failure population: results of the ESCAPE trial
PubMed ID: 17719273
Higher inpatient loop diuretic doses associated with greater weight loss (fluid) and higher mortality; diuretics alter K and fluid.
- Randomized, placebo-controlled trial of the effects of drospirenone-estradiol on blood pressure and potassium balance in hypertensive postmenopausal women receiving hydrochlorothiazide
PubMed ID: 17224857
DRSP/E2 partially prevented HCTZârelated potassium lossâdirectly relevant to maintaining K+ balance.
- Oral rehydration solution to prevent nephrotoxicity of amphotericin B
PubMed ID: 17172377
ORS significantly better at preventing hypokalemia than IV saline in this settingâstrong evidence for promoting electrolyte balance.
- No effect of increased water intake on blood viscosity and cardiovascular risk factors
PubMed ID: 17181872
Adding 1 L/d fluid raised urine output and altered urinary potassiumâdirectly relevant to fluid and renal excretory balance.
- Appropriateness of spironolactone prescribing in heart failure patients: a population-based study
PubMed ID: 16624686
Population study highlighted hyperkalemia risk and inappropriate concurrent K+ supplement use â important for maintaining safe electrolyte balance.
- Long-term effects of spironolactone on proteinuria and kidney function in patients with chronic kidney disease
PubMed ID: 17035949
Spironolactone changed serum potassium (increased), reflecting an intervention that meaningfully alters electrolyte balance in CKD patients.
- Effect of potassium canrenoate, an anti-aldosterone agent, on incidence of ascites and variceal progression in cirrhosis
PubMed ID: 16931172
Antialdosterone therapy (affecting Na/K balance) reduced progression to ascites/variceal events in cirrhotics, indicating effects on fluid homeostasis.
- Efficacy and safety of 24 weeks of therapy with bendroflumethiazide 1.25 mg/day or 2.5 mg/day and potassium chloride compared with enalapril 10 mg/day and amlodipine 5 mg/day in patients with mild to moderate primary hypertension : a multicentre, randomised, open study
PubMed ID: 17163239
Use of potassium chloride with thiazide preserved serum potassium and addressed electrolyte effects of diuretics.
- Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men
PubMed ID: 16762939
Replacing regular salt with potassium-enriched salt directly alters sodium/potassium balance at a population level with clear health benefits.
- Effects of canrenoate plus angiotensin-converting enzyme inhibitors versus angiotensin-converting enzyme inhibitors alone on systolic and diastolic function in patients with acute anterior myocardial infarction
PubMed ID: 16290961
Canrenoate produced hyperkalemia in a subset of MI patients â direct potassium outcome.
- A randomized, double-blind comparison of lactated Ringer's solution and 0.9% NaCl during renal transplantation
PubMed ID: 15845718
Randomized trial showing LR led to less intraoperative hyperkalemia vs NS â direct, clinically important potassium effect.
- An analysis of the effectiveness and benefits of peritoneal dialysis and haemodialysis using Nigerian made PD fluids
PubMed ID: 16749353
Dialysis study directly documented large serum potassium changesâstrongly relevant to electrolyte balance.
- Prevention of renal impairment by continuous infusion of human atrial natriuretic peptide after liver transplantation
PubMed ID: 16278591
ANP infusion reduced need for dialysis and improved creatinine clearance vs conventional diureticsâdemonstrates improved perioperative fluid/renal management.
- Enalapril dosage in progressive chronic nephropathy: a randomised, controlled trial
PubMed ID: 15761754
Higher enalaprilat exposure produced a clear, significant increase in plasma potassiumâdirect evidence of drugâmediated potassium shifts (electrolyte balance).
- Antihypertensive effects of drospirenone with 17beta-estradiol, a novel hormone treatment in postmenopausal women with stage 1 hypertension
PubMed ID: 16186434
Drospirenone/estradiol caused a small increase in patients with elevated potassiumâdemonstrates potassium perturbation risk.
- Effects of drospirenone/17-beta estradiol on blood pressure and potassium balance in hypertensive postmenopausal women
PubMed ID: 15925739
Study measured serum potassium and showed no excess hyperkalemia with drospirenone/estradiol while lowering BP, informing safety of electrolyte balance under that therapy.
- Serum potassium, cardiovascular risk, and effects of an ACE inhibitor: results of the HOPE study
PubMed ID: 15786818
Large trial linking hypokalemia to higher cardiovascular events highlights importance of preserving normal potassium for overall electrolyte homeostasis.
- Potassium supplementation, diet vs pills: a randomized trial in postoperative cardiac surgery patients
PubMed ID: 14769716
Randomized comparison showed potassium-rich foods maintained serum potassium as well as supplement pills in patients on potassium-wasting diuretics â direct evidence for managing electrolyte balance.
- Assessment of the novel selective aldosterone blocker eplerenone using ambulatory and clinical blood pressure in patients with systemic hypertension
PubMed ID: 12842242
Eplerenone trial monitored serum potassium as safetyâdemonstrates interplay of antihypertensive therapy and electrolytes.
- Blood pressure response to conventional and low-dose enalapril in chronic renal failure
PubMed ID: 12580985
Higher enalapril exposure in chronic renal failure was associated with increased serum potassium, highlighting medication effects on electrolyte balance.
- Subclinical mastitis among HIV-infected and uninfected Zimbabwean women participating in a multimicronutrient supplementation trial
PubMed ID: 14584380
Milk Na/K ratio findings reflect potassium-related electrolyte balance in lactation and infant nutrition.
- Decreasing dietary sodium while following a self-selected potassium-rich diet reduces blood pressure
PubMed ID: 14652358
Lowâsodium/highâpotassium diet increased urinary K and lowered urinary Na substantiallyâdirect dietary manipulation of electrolyte balance.
- Is peritoneal dialysis adequate for hypercatabolic acute renal failure in developing countries?
PubMed ID: 11849419
Directly measured potassium removal differences between dialysis modalitiesâstrongly relevant to electrolyte balance.
- Double blind, randomised controlled clinical trial of hypo-osmolar oral rehydration salt solution in dehydrating acute diarrhoea in severely malnourished (marasmic) children
PubMed ID: 11207173
Hypo-osmolar ORS containing K+ substantially reduced stool output and duration and rehydrated children without electrolyte derangementâdirect evidence for fluid/electrolyte repletion.
- The effect of glucose-insulin-potassium solution on ventricular late potentials and heart rate variability in acute myocardial infarction
PubMed ID: 11696690
GIK infusion includes potassium and changes electrophysiologic/cellular markersâdirectly involves electrolyte administration.
- A comparison of dietary and non-dietary factors of hypertension and normal blood pressure in a Chinese population
PubMed ID: 11464259
Dietary sodium-to-potassium ratio data link sodium and potassium intake to hypertensionâimportant for electrolyte balance assessment.
- Multicenter, randomized, double-blind clinical trial to evaluate the efficacy and safety of a reduced osmolarity oral rehydration salts solution in children with acute watery diarrhea
PubMed ID: 11335732
Reduced-osmolarity ORS (contains 20 mmol/L K+) lowered need for IV therapyâdirect evidence of improved rehydration/fluid management.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Shows clinical significance of maintaining normal serum potassium during diuretic therapy; hypokalemia associated with worse outcomes.
- Amphotericin B in children with malignant disease: a comparison of the toxicities and pharmacokinetics of amphotericin B administered in dextrose versus lipid emulsion
PubMed ID: 10348763
Amphotericin B caused increased potassium requirements â direct demonstration of disturbed K balance.
- Glucose and insulin infusion versus kayexalate for the early treatment of non-oliguric hyperkalemia in very-low-birth-weight infants
PubMed ID: 10910540
In VLBW infants with hyperkalemia, insulin+glucose cleared K faster â strong evidence of K homeostasis manipulation (clinical electrolyte management).
- Comparison of the toxicity of amphotericin B in 5% dextrose with that of amphotericin B in fat emulsion in a randomized trial with cancer patients
PubMed ID: 10348768
Amphotericin formulation influenced incidence of hypokalemia â demonstrates clinical importance of K management.
- Trimethoprim-sulfamethoxazole therapy in outpatients: is hyperkalemia a significant problem?
PubMed ID: 10393376
Documented rise in serum K+ and clinically significant hyperkalemia cases with TMPâSMXâdirect evidence of electrolyte perturbation.
- Effects of potassium on blood pressure in salt-sensitive and salt-resistant black adolescents
PubMed ID: 10454438
Dietary K+ increased urinary K+ and altered BP pattern â clear effect on electrolyte status.
- Urinary sodium and potassium profile of blacks and whites in relation to education in two different geographic urban areas. TOMHS Research Group. Treatment of Mild Hypertension Study
PubMed ID: 10075387
Overnight urine study documents population differences in urinary K and Na:K ratio, directly informing electrolyte balance and dietary K status.
- Diuretic-based treatment and cardiovascular events in patients with mild renal dysfunction enrolled in the systolic hypertension in the elderly program
PubMed ID: 9645829
Large randomized trial shows diuretic therapy can produce hypokalemia risk dependent on kidney functionâimportant for electrolyte management.
- Low-dose antihypertensive therapy with 1.5 mg sustained-release indapamide: results of randomised double-blind controlled studies. European study group
PubMed ID: 9856369
Indapamide SR halved the rate of low serum potassium compared with IR formulation â strong evidence about maintaining serum K balance during therapy.
- Safety and toxicity of amphotericin B in glucose 5% or intralipid 20% in neutropenic patients with pneumonia or fever of unknown origin: randomised study
PubMed ID: 9694753
Different amphotericin formulations altered the need for K supplementation â evidence about clinical management of potassium balance.
- Metabolic modulation of acute myocardial infarction. The ECLA (Estudios CardiolĂłgicos LatinoamĂŠrica) Collaborative Group
PubMed ID: 9867443
GIK includes potassium as an explicit component of an electrolyte regimen used therapeutically in MI â shows therapeutic use of K within an electrolyte strategy.
- Effect of change in sodium excretion on change in blood pressure corrected for measurement error. The Trials of Hypertension Prevention, Phase I
PubMed ID: 9737555
Na/K ratio decrease associated with BP improvement â directly implicates potassium (relative to sodium) in maintaining electrolyte-related cardiovascular homeostasis.
- Influence of long-term, low-dose, diuretic-based, antihypertensive therapy on glucose, lipid, uric acid, and potassium levels in older men and women with isolated systolic hypertension: The Systolic Hypertension in the Elderly Program. SHEP Cooperative Research Group
PubMed ID: 9554680
Large trial documented a mean serum potassium fall with chlorthalidone over 3 years â clear demonstration of clinical importance of K monitoring and replacement.
- Oral rehydration with a plantain flour-based solution in children dehydrated by acute diarrhea: a clinical trial
PubMed ID: 9350881
Plantain ORS sometimes caused decreases in serum sodium and potassiumâdirectly reports electrolyte changes during rehydration.
- Addition of a thiazide: an effective remedy for furosemide resistance after cardiac operations
PubMed ID: 9124977
Adding HCTZ+amiloride markedly increased diuresis and weight lossâclear impact on fluid balance and Kâsparing drug effects.
- Potassium supplementation in kwashiorkor
PubMed ID: 9106107
In kwashiorkor, higher potassium repletion markedly reduced mortality and infections vs standard K â direct, clinically important benefit from restoring electrolyte/mineral balance.
- Comparison of regimens of amphotericin B deoxycholate in kala-azar
PubMed ID: 8707361
Amphotericin B associated with falls in serum K as a toxicity â evidence of drug-induced disturbances in electrolyte balance.
- Effect of hydrochlorothiazide therapy on cardiac arrhythmias in African-American men with systemic hypertension and moderate to severe left ventricular hypertrophy
PubMed ID: 8888660
HCTZ produced a clear and clinically relevant fall in serum K (â0.5 mmol/L), demonstrating major effects on electrolyte balance.
- The PACK trial: morbidity and mortality effects of ketanserin. Prevention of Atherosclerotic Complications
PubMed ID: 9546928
Harmful interaction with K+-losing diuretics emphasizes clinical importance of K+ balance in outcome.
- Reduced osmolarity oral rehydration salt in Cholera
PubMed ID: 9122640
Reduced-osmolar ORS containing 20 mmol/L K+ substantially reduced stool losses and reduced IV fluid needâclear fluid-balance benefit.
- The influence of angiotensin-converting enzyme inhibition on renal tubular function in progressive chronic nephropathy
PubMed ID: 8957033
Measured potassium clearance and tubular handlingâdirectly pertinent to electrolyte balance.
- Effectiveness of spironolactone added to an angiotensin-converting enzyme inhibitor and a loop diuretic for severe chronic congestive heart failure (the Randomized Aldactone Evaluation Study [RALES])
PubMed ID: 8888663
Spironolactone increased hyperkalemia incidence dose-dependentlyâimportant clinical evidence about K+ balance disturbance.
- Effect of a new model of hemodialysis potassium removal on the control of ventricular arrhythmias
PubMed ID: 8840293
Dialysate K+ profile changes reduced arrhythmias and altered plasmaâdialysate gradientâdemonstrates clinical importance of K+ gradients.
- Effect of potassium supplementation on blood pressure in African Americans on a low-potassium diet. A randomized, double-blind, placebo-controlled trial
PubMed ID: 8526698
Direct supplementation (80 mmol/day) produced large urinary K changes and corrected K deficit, supporting electrolyte balance.
- [Therapeutic benefit of a low dose of indapamide: results of a double-blind against placebo European controlled study]
PubMed ID: 8572850
Indapamide study documents incidence of low serum K with different formulations/doses â shows how therapies perturb electrolyte balance.
- The presence of bicarbonate in oral rehydration solution does not influence fluid absorption in cholera
PubMed ID: 7770713
Cholera ORS trials used solutions containing potassium (20 mmol/L); study shows effective rehydration â direct relevance to fluid and electrolyte replacement.
- The effect of potassium supplementation in persons with a high-normal blood pressure. Results from phase I of the Trials of Hypertension Prevention (TOHP). Trials of Hypertension Prevention (TOHP) Collaborative Research Group
PubMed ID: 7795836
Direct randomized KCl supplementation increased urinary K excretion markedly â strong evidence for impact on whole-body K/electrolyte balance.
- Cilazapril plus hydrochlorothiazide: improved efficacy without reduced safety in mild to moderate hypertension. A double-blind placebo-controlled multicenter study of factorial design
PubMed ID: 7850821
Combination antihypertensive therapy affected frequency of low serum potassium reports compared with diuretic alone â relevant to electrolyte disturbance risk.
- Quinapril and hydrochlorothiazide combination for control of hypertension: assessment by factorial design. Quinapril Investigator Group
PubMed ID: 8006914
ACE inhibitor prevented diuretic-induced hypokalemia, showing drug interactions that affect electrolyte balance.
- Antihypertensive effectiveness of low-dose lisinopril-hydrochlorothiazide combination. A large multicenter study. Lisinopril-Hydrochlorothiazide Group
PubMed ID: 8147677
Large RCT showing hydrochlorothiazide lowers serum K â direct electrolyte effect.
- Enalapril versus bendroflumethiazide in type 2 diabetes complicated by hypertension
PubMed ID: 7859051
Thiazide therapy associated with lowered serum potassium in hypertensive diabetics â relevant to electrolyte balance.
- Randomized clinical study of the efficacy of amiloride and potassium canrenoate in nonazotemic cirrhotic patients with ascites
PubMed ID: 8276370
Potassium canrenoate produced greater diuretic responses in cirrhosis with ascites, directly modifying fluid balance.
- Six-week study of torsemide in patients with congestive heart failure
PubMed ID: 8111802
Loop diuretic led to small decreases in serum K in CHF cohort â electrolyte perturbation documented.
- Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group
PubMed ID: 8385183
Shows marked thiazide-related K drop and modulation by ACE inhibitor â direct clinical evidence of K-electrolyte effects.
- Indomethacin treatment in children with daytime frequency of micturition
PubMed ID: 1306665
Indomethacin altered urinary potassium excretion and urine pH, showing effects on potassium handling and electrolytes.
- [The effect of 6% (40/0.5) hydroxyethyl starch and Ringer's lactate on blood coagulation, laboratory parameters and circulation during peridural anesthesia]
PubMed ID: 1706531
Measured serum potassium and found it unchanged with different perioperative fluidsâprovides electrolyte monitoring context.
- Low-dose cyclopenthiazide in the treatment of hypertension: a one-year community-based study
PubMed ID: 2031076
Thiazide dose-dependently lowered serum potassium (up to â0.52 mmol/L), highlighting important electrolyte consequences.
- Treatment of hypertension in the elderly. III. Response of isolated systolic hypertension to various doses of hydrochlorothiazide: results of a Department of Veterans Affairs cooperative study. Department of Veterans Affairs Cooperative Study Group on Antihypertensive Agents
PubMed ID: 1929683
Hydrochlorothiazide caused dose-dependent drops in serum K, relevant to K homeostasis and electrolyte balance.
- Effects of acetylsalicylic acid on renal function in patients with chronic heart failure
PubMed ID: 2029014
Direct measurement of renal potassium excretion changes with dietary sodium â directly about electrolyte handling.
- Lisinopril-hydrochlorothiazide combination compared with the monocomponents in elderly hypertensive patients
PubMed ID: 1665184
Combination lisinopril/HCTZ attenuated thiazide-induced K loss â demonstrates therapeutic manipulation of K balance.
- Increasing the dietary potassium intake reduces the need for antihypertensive medication
PubMed ID: 1929022
Dietary potassium increased urinary K and reduced medication needâdemonstrates meaningful electrolyte changes with clinical effect.
- [The optimal dose of bendroflumethiazide in hypertension. A randomized double-blind dose-response study]
PubMed ID: 2238184
Large doseâresponse trial documented dose-related potassium changes with thiazidesârelevant to electrolyte management.
- An open, parallel group study comparing a frusemide/amiloride diuretic and a diuretic containing cyclopenthiazide with sustained release potassium in the treatment of congestive cardiac failure--a multicentre general practice study
PubMed ID: 2193840
A potassiumâcontaining regimen prevented expected diureticâinduced potassium loss, showing effective maintenance of electrolyte balance.
- Amikacin plus piperacillin versus ceftazidime as initial therapy in granulocytopenic patients with presumed bacteremia
PubMed ID: 2284577
Combination regimen caused marked serum K decreases and frequent need for K supplements â direct evidence about K balance.
- Hypertension and arrhythmias: effects of slow-release nicardipine vs chlorthalidone: a double-blind crossover study
PubMed ID: 2258249
Thiazide diuretic induced decreases in serum K â demonstrates perturbations in electrolyte balance needing management.
- Treatment of hypertension in the elderly: I. Blood pressure and clinical changes. Results of a Department of Veterans Affairs Cooperative Study
PubMed ID: 2318517
Demonstrated substantial rates of thiazide-induced hypokalemia, highlighting the clinical need to maintain potassium/electrolyte balance.
- Oral therapy for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. A controlled trial of trimethoprim-sulfamethoxazole versus trimethoprim-dapsone
PubMed ID: 2392131
Trimethoprimâdapsone frequently caused mild hyperkalemia (53%): strong direct evidence of drug-induced K disturbance.
- Relation between dose of bendrofluazide, antihypertensive effect, and adverse biochemical effects
PubMed ID: 2344503
Bendrofluazide produced dose-related decreases in serum potassium â directly relevant to electrolyte balance.
- Estimation of protein intake: comparison of dietary assessment and urinary excretion
PubMed ID: 1706024
Urinary potassium excretion validated as a biomarker of dietary K â relevant for assessing electrolyte balance.
- Acute and chronic effects of a diuretic monotherapy with piretanide in congestive heart failure--a placebo-controlled trial
PubMed ID: 2285635
Piretanide reduced weight/pressures and improved symptoms in HF â demonstrates diuretic effects on fluid balance with stable K.
- The Hypertension Prevention Trial: three-year effects of dietary changes on blood pressure. Hypertension Prevention Trial Research Group
PubMed ID: 2404477
Dietary counseling transiently increased urinary K, demonstrating dietâdriven changes in electrolyte balance.
- The influence of oral potassium chloride on blood pressure in hypertensive men on a low-sodium diet
PubMed ID: 2406601
Oral KCl raised serum and urinary potassium demonstrating direct effect on electrolyte balance in humans.
- Patiromer utility as an adjunct treatment in patients needing urgent hyperkalaemia management (PLATINUM): a randomised controlled trial in the emergency department
PubMed ID: 41730555
Trial of patiromer (Kâbinder) is directly about acute K control/electrolyte management, though underpowered.
- Hypokalemia During Decongestion With Loop Diuretics and Hydrochlorothiazide, a Post Hoc Analysis of the CLOROTIC Trial
PubMed ID: 40590131
Direct quantification of hypokalemia risk across diuretic regimens and thresholds for supplementation â highly relevant to electrolyte balance management.
- Potassium Magnesium Citrate Is Superior to Potassium Chloride in Reversing Metabolic Side Effects of Chlorthalidone
PubMed ID: 37846572
KMgCit vs KCl produced clear, clinically relevant changes in serum K and Mg, urinary citrate and urine pH â strong evidence of altering electrolyte/mineral balance.
- Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults
PubMed ID: 35041780
Balanced multielectrolyte solution (contains K) trial addresses electrolyte therapy in critical illnessârelevant to overall electrolyte balance (neutral clinical outcomes).
- Effects of intraoperative and early postoperative normal saline or Plasma-Lyte 148ÂŽ on hyperkalaemia in deceased donor renal transplantation: a double-blind randomized trial
PubMed ID: 29121282
Perioperative fluid composition (saline vs PlasmaâLyte) produced major differences in hyperkalaemia incidence and peak K+, showing K+ content in fluids impacts fluid/electrolyte balance.
- Effects of Potassium Magnesium Citrate Supplementation on 24-Hour Ambulatory Blood Pressure and Oxidative Stress Marker in Prehypertensive and Hypertensive Subjects
PubMed ID: 27448942
KCl and KMgCit phases raised serum K vs placebo and altered oxidative stress/serum Mg with KMgCit â direct supplement evidence on electrolytes.
- Using a low-sodium, high-potassium salt substitute to reduce blood pressure among Tibetans with high blood pressure: a patient-blinded randomized controlled trial
PubMed ID: 25338053
Household salt substitution (KCl for NaCl) produced large increases in K intake and corresponding BP changes â direct largeâscale evidence of changing population electrolyte balance.
- Long-term effects of salt substitution on blood pressure in a rural north Chinese population
PubMed ID: 23254595
Longâterm replacement salt increased dietary K and lowered BP, showing sustained effects on electrolyte intake/excretion.
- Feasibility and antihypertensive effect of replacing regular salt with mineral salt -rich in magnesium and potassium- in subjects with mildly elevated blood pressure
PubMed ID: 21888642
K/Mg salt substitution increased urinary K and lowered Na intake over 8 weeksâdirectly alters electrolyte profile.
- Intravenous administration of magnesium and potassium solution lowers energy levels and increases success rates electrically cardioverting atrial fibrillation
PubMed ID: 21815963
IV K+Mg corrected ionic milieu before cardioversion improving electrical stability â direct relevance to electrolyte management.
- Potassium-magnesium citrate versus potassium chloride in thiazide-induced hypokalemia
PubMed ID: 10652038
Direct RCT: KâMgâcitrate corrected K, raised Mg, increased urinary pH/citrateâstrong evidence supporting improved electrolyte balance.
- Effect of varying doses of potassium-magnesium citrate on thiazide-induced hypokalemia and magnesium loss
PubMed ID: 10423646
Dose-ranging RCT showing dose-dependent correction of hypokalemia and changes in urine citrate/pH and Mgârobust electrolyte data.
- Effect of potassium magnesium citrate on thiazide-induced hypokalemia and magnesium loss
PubMed ID: 10401023
High-quality RCT showing KâMgâcitrate corrects hypokalemia equivalently to KCl and improves Mg and urine parametersâstrong electrolyte balance evidence.
- The effect of varying molar ratios of potassium-magnesium citrate on thiazide-induced hypokalemia and magnesium loss
PubMed ID: 9824785
Direct RCT: KâMgâcitrate corrected thiazide-induced hypokalemia and altered Mg and urine citrateâstrong evidence for restoring electrolyte balance.
- Antiarrhythmic effects of increasing the daily intake of magnesium and potassium in patients with frequent ventricular arrhythmias. Magnesium in Cardiac Arrhythmias (MAGICA) Investigators
PubMed ID: 9120155
Combined K+Mg supplementation reduced ventricular ectopy and reflects corrected electrolyte milieu; directly involves potassium dosing.
- Effects of dietary sodium substitution with potassium and magnesium in hypertensive type II diabetics: a randomised blind controlled parallel study
PubMed ID: 8895035
Salt substitution increased urinary potassium and lowered systolic BP in hypertensive diabeticsâdemonstrates electrolyte shift.
- Potassium supplements prevent serious hypokalaemia in colon cleansing
PubMed ID: 7828395
Strong evidence that oral K supplementation prevents hypokalaemia during bowel prepâdirect demonstration of maintaining electrolyte balance.
- Reduction in blood pressure with a low sodium, high potassium, high magnesium salt in older subjects with mild to moderate hypertension
PubMed ID: 7920126
LowâNa/highâK salt increased urinary K by 22% and reduced urinary Naâclear effect on electrolyte balance.
- [An open comparative study of captopril + hydrochlorothiazide versus chlorthalidone for the treatment of mild and moderate primary hypertension]
PubMed ID: 1340743
Chlorthalidone caused a clear potassium drop (4.2 â 3.7 mEq/L) while captopril+HCTZ avoided it â strong clinical evidence that interventions affect potassium/electrolyte balance.
- Treating mild-to-moderate hypertension: a comparison of lisinopril-hydrochlorothiazide fixed combination with captopril and hydrochlorothiazide free combination
PubMed ID: 1665179
ACE inhibitorâthiazide regimens produced differential serum potassium effects â direct evidence about electrolyte balance in clinical therapy.
- Effects of DPP-4 Inhibitor Linagliptin Versus Sulfonylurea Glimepiride as Add-on to Metformin on Renal Physiology in Overweight Patients With Type 2 Diabetes (RENALIS): A Randomized, Double-Blind Trial
PubMed ID: 32900785
Reported modest increases in urinary potassium and sodium excretion â directly about electrolyte handling.
- A long-term study on the efficacy of a herbal plant, Orthosiphon grandiflorus, and sodium potassium citrate in renal calculi treatment
PubMed ID: 11944733
Sodiumâpotassium citrate is an explicit electrolyte therapy altering urinary chemistry â direct electrolyte-balance relevance.
- A comparison of rice-based oral rehydration solution and "early feeding" for the treatment of acute diarrhea in infants
PubMed ID: 2112187
Oral rehydration strategies (contain electrolytes including K+) reduced stool output and supported rehydration â directly fluidârelevant.
- A Pilot Randomized, Controlled, Double-Blind Trial of Bumetanide to Treat Neonatal Seizures
PubMed ID: 33201535
Bumetanide exposure caused diuresis with electrolyte monitoring; relevant to electrolyte balance and K loss.
- A randomised controlled trial of bumetanide in the treatment of autism in children
PubMed ID: 23233021
Bumetanide in children often caused hypokalemia requiring K supplementation â directly relevant to maintaining electrolytes.
- Does the provision of free medically tailored groceries high in fibre or healthy fats impact sodium and potassium intakes? Secondary data analysis of a randomised controlled trial with extended follow-up
PubMed ID: 41351703
Medically tailored groceries raised potassium intake transiently and lowered sodiumâpractical effect on dietary electrolyte balance.
- Changes in dietary intake, food tolerance, hedonic hunger, binge eating problems, and gastrointestinal symptoms after sleeve gastrectomy compared with after gastric bypass; 1-year results from the Oseberg study-a randomized controlled trial
PubMed ID: 36811476
Bariatric surgery led to substantial reductions in potassium intake over 1 year, showing risk to electrolyte balance after surgery.
- Dietary Habits of Individuals With Primary Sclerosing Cholangitis-Poor Fat-Soluble Vitamin Intake and Dietary Quality
PubMed ID: 39601354
Cross-sectional data show many PSC patients have potassium intakes below recommendations, signifying risk to electrolyte balance in that population.
- Intervention leads to improvements in the nutrient profile of snacks served in afterschool programs: a group randomized controlled trial
PubMed ID: 27528522
Intervention substantially increased potassium content of snacks served â direct dietary electrolyte improvement.
- Challenges in sodium intake reduction and meal consumption patterns among participants with metabolic syndrome in a dietary trial
PubMed ID: 24345027
Dietary program significantly improved the sodium/potassium ratio at the population levelâimportant for electrolyte balance.
- Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care
PubMed ID: 15082472
High-potassium salt measurably reduced urinary Na:K ratioâevidence that dietary K interventions modify electrolyte biomarkers.
- Hyponatremia after pediatric surgery: Randomized trial of fluid composition on antidiuretic hormone response
PubMed ID: 40399660
Study focused on IV fluid composition, urinary Na:K ratios and hyponatremia â central to electrolyte balance.
- Net clinical benefit of patiromer for acute hyperkalemia: a post-hoc analysis of the reduce trial
PubMed ID: 41178555
Patiromer produced an early and clinically meaningful fall in serum K in emergency hyperkalemia â direct electrolyte intervention.
- The randomized DIALIZE-Outcomes trial evaluated sodium zirconium cyclosilicate in hemodialysis
PubMed ID: 40618849
SZC substantially and durably maintained normokalemia in hemodialysis patientsâdirect, robust effect on potassium balance.
- Optimizing Recovery in Elderly Patients: Anabolic Benefits of Glucose Supplementation during the Rehydration Period
PubMed ID: 38892539
Refeeding protocol clearly caused drops in K+ (and other electrolytes), demonstrating clinical electrolyte imbalance and need for monitoring/supplementation.
- A descriptive analysis of drug-drug interactions and corresponding adverse drug reactions in multimorbid older inpatients: findings from the SENATOR trial
PubMed ID: 39095682
Large observational study showed frequent DDIs involving potassium-affecting drugs and an association with electrolyte-related ADRs â clinically important for maintaining electrolyte balance.
- Sodium Zirconium Cyclosilicate in CKD, Hyperkalemia, and Metabolic Acidosis: NEUTRALIZE Randomized Study
PubMed ID: 38622759
SZC robustly reduced serum K and increased bicarbonate â direct, clinically meaningful modulation of K balance.
- CYP11B2 inhibitor dexfadrostat phosphate suppresses the aldosterone-to-renin ratio, an indicator of sodium retention, in healthy volunteers
PubMed ID: 36914591
Aldosterone-synthase inhibitor altered plasma K and urine Na/K ratio â strong mechanistic evidence on electrolyte handling.
- Effects of Preoperative Oral Carbohydrate Electrolyte Drinks on Preoperative Hypokalemia Incidence in Patients Scheduled for Laparoscopic Colorectal Resection: A Three-Arm Randomized Clinical Trial
PubMed ID: 36732123
Adding potassium to preop drinks markedly reduced incidence/severity of preoperative hypokalemia â direct electrolyte-balance benefit.
- Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST-Fluids): a pragmatic, double-blind, randomised, controlled trial
PubMed ID: 37343576
Balanced crystalloid (PlasmaâLyte) vs saline around kidney transplant reduced acid/base disturbances and delayed graft function; fluid composition (including electrolytes) impacted fluid and acidâbase homeostasis.
- Efficacy of Potassium Supplementation in Hypokalemic Patients Receiving Peritoneal Dialysis: A Randomized Controlled Trial
PubMed ID: 35597332
Direct randomized trial of oral KCl to maintain target serum K in PD patients â strong evidence for correcting/maintaining electrolyte (K) balance.
- Effectiveness of a novel 1% glucose isotonic electrolyte solution for intraoperative fluid therapy in children: a randomized controlled trial
PubMed ID: 34775865
Kâcontaining isotonic glucose solution maintained more stable serum potassium intraoperatively compared with Ringerâs â direct electrolyte maintenance signal.
- Risk of Electrolyte Disorders in Acutely Ill Children Receiving Commercially Available Plasmalike Isotonic Fluids: A Randomized Clinical Trial
PubMed ID: 33104176
Large trial showing IV fluid composition (including K) substantially influenced clinically significant electrolyte disorders (hypokalemia) â direct evidence.
- Effects of Fluid Rehydration Strategy on Correction of Acidosis and Electrolyte Abnormalities in Children With Diabetic Ketoacidosis
PubMed ID: 34187840
Fluid resuscitation strategy in DKA substantially affected potassium and chloride trajectories and incidence of hyperchloremic acidosis â very relevant to electrolyte balance.
- Interim effects of salt substitution on urinary electrolytes and blood pressure in the China Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 31986290
Salt substitute substantially increased urinary K at population levelâdirect evidence of altering electrolyte balance via dietary potassium.
- The effect of a self-management program on renal function control in patients with hemodialysis in Taiwan: A longitudinal randomized controlled trial
PubMed ID: 32390339
Behavior change reduced serum potassium modestly in HD patientsârelevant to maintaining electrolyte targets in dialysis.
- Spot urine samples compared with 24-h urine samples for estimating changes in urinary sodium and potassium excretion in the China Salt Substitute and Stroke Study
PubMed ID: 30307504
Large study comparing spot urine methods to 24âh collections for sodium and potassiumâdirectly relevant to monitoring K/electrolyte balance.
- Comparison of the effects of tolvaptan and furosemide on renal water and sodium excretion in patients with heart failure and advanced chronic kidney disease: a subanalysis of the K-STAR study
PubMed ID: 29934667
Demonstrated changes in urinary Na+ and K+ and in electrolyte-free water clearance with tolvaptan vs furosemide â direct evidence about electrolyte balance.
- The effect of tolvaptan on renal excretion of electrolytes and urea nitrogen in patients undergoing coronary artery bypass surgery
PubMed ID: 27624603
Addition of tolvaptan to diuretics postâCABG preserved serum K and normalized K excretion/urea handling faster â shows influence on renal fluid and electrolyte homeostasis.
- Impact of a Potassium-enriched, Chloride-depleted 5% Glucose Solution on Gastrointestinal Function after Major Abdominopelvic Surgery: Results of a Randomized Controlled Trial
PubMed ID: 27416541
Potassiumâcontaining perioperative fluid reduced potassium replacement needs and sped GI recovery â direct clinical fluid/electrolyte effect.
- Lipid-based nutrient supplements containing vitamins and minerals attenuate renal electrolyte loss in HIV/AIDS patients starting antiretroviral therapy: A randomized controlled trial in Zambia
PubMed ID: 28531643
Multinutrient supplement reduced renal K+ losses in HIV patients, indicating improved K+ conservation and balance.
- Randomized Clinical Trial of Sodium Polystyrene Sulfonate for the Treatment of Mild Hyperkalemia in CKD
PubMed ID: 26576619
Oral sodium polystyrene sulfonate produced a clinically meaningful (~1 mEq/L) reduction in serum K in CKD patients â strong evidence on manipulation of potassium balance.
- Effect of sodium zirconium cyclosilicate on potassium lowering for 28 days among outpatients with hyperkalemia: the HARMONIZE randomized clinical trial
PubMed ID: 25402495
Demonstrated rapid, doseâdependent lowering and maintenance of serum potassium â direct correction of electrolyte disturbance.
- Effect of switching unfractionated heparin to low-molecular-weight heparin on serum potassium in hemodialysis patients
PubMed ID: 25362223
Change in anticoagulant produced a measurable serum potassium change in dialysis patients, showing influence on electrolyte balance.
- Half-molar sodium lactate infusion improves cardiac performance in acute heart failure: a pilot randomised controlled clinical trial
PubMed ID: 24666826
Sodiumâlactate infusion caused marked serum potassium drop and sodium rise â illustrates acute electrolyte shifts.
- Impact of a social franchising program on uptake of oral rehydration solution plus zinc for childhood diarrhea in myanmar: a community-level randomized controlled trial
PubMed ID: 24401752
Increased ORS uptake for childhood diarrhea â ORS replaces fluids and electrolytes (including potassium) and supports fluid balance.
- Potassium kinetics during hemodialysis
PubMed ID: 25091596
Provides detailed potassium kinetics in hemodialysis patients â directly relevant to managing electrolyte balance.
- Acute hyperkalemia associated with inhalation of a potent ENaC antagonist: Phase 1 trial of GS-9411
PubMed ID: 23905576
ENaC blocker produced frequent transient hyperkalemia and urine Na/K changes â clear demonstration of electrolyte regulation perturbation.
- A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis
PubMed ID: 22357106
Pharmacist-led monitoring improved checks of urea & electrolytes, enhancing safe electrolyte (including K) management.
- Spironolactone in preventing hypokalemia following traumatic brain injury
PubMed ID: 21126390
Spironolactone substantially reduced incidence of hypokalemia after brain injury â strong evidence for maintaining K+ balance.
- Improving outcome of treatment of kala-azar by supplementation of amphotericin B with physiologic saline and potassium chloride
PubMed ID: 21036834
Supplementing infusions with KCl altered serum electrolytes and reduced renal injuryâdirectly demonstrates electrolyte supplementation effect.
- Impact of dopamine infusion on renal function in hospitalized heart failure patients: results of the Dopamine in Acute Decompensated Heart Failure (DAD-HF) Trial
PubMed ID: 21111980
Lowâdose dopamine + furosemide preserved serum potassium better than highâdose furosemide â evidence about K+ preservation.
- Is a priming dose of insulin necessary in a low-dose insulin protocol for the treatment of diabetic ketoacidosis?
PubMed ID: 18694978
DKA regimens monitored/managed potassium closelyâdemonstrates clinical importance of maintaining electrolyte balance when treating metabolic emergencies.
- Patients with complex arrhythmias during and after haemodialysis suffer from different regimens of potassium removal
PubMed ID: 18065796
Dialysate K profiling meaningfully changed plasma K during dialysis and altered arrhythmia riskâstrong evidence of clinical importance of K management.
- Fenoldopam vs dopamine as a nephroprotective strategy during living donor kidney transplantation: preliminary data
PubMed ID: 17692615
Fenoldopam altered urinary K excretion vs dopamine in a perioperative setting, indicating effects on electrolyte homeostasis.
- Does an L-glutamine-containing, glucose-free, oral rehydration solution reduce stool output and time to rehydrate in children with acute diarrhoea? A double-blind randomized clinical trial
PubMed ID: 18330060
Oral rehydration solutions containing KCl are core to restoring fluid/electrolyte balance in dehydrationâdirect relevance.
- [Efficacy and safety of reduced osmolarity oral rehydration salts in treatment of dehydration in children with acute diarrhea--a multicenter, randomized, double blind clinical trial]
PubMed ID: 17706059
Pediatric reducedâosmolarity ORS (includes K) reduced IV fluid needs and maintained effective rehydration, showing strong fluidâbalance benefit.
- Glucose-insulin-potassium therapy in patients with ST-segment elevation myocardial infarction
PubMed ID: 18042917
GIK increased serum potassium/fluid gain in STEMI patients, affecting electrolyte balance and safety.
- Standard WHO-ORS versus reduced-osmolarity ORS in the management of cholera patients
PubMed ID: 16796157
Reducedâosmolarity ORS (contains potassium) increased urine output and reduced vomiting in cholera, demonstrating effective rehydration/fluid balance (multicomponent solution).
- [Comparison of noliprel and caposide efficacy in patients with arterial hypertension of high risk]
PubMed ID: 15989013
Different antihypertensive combos produced differing effects on serum potassium; important to electrolyte homeostasis.
- Transfusions of CPDA-1 red blood cells stored for up to 28 days decrease donor exposures in very low-birth-weight premature infants
PubMed ID: 16359417
Stored RBCs imparted higher K+ loads during transfusion, a clinically important electrolyte source to consider.
- Comparison between normal saline and a polyelectrolyte solution for fluid resuscitation in severely dehydrated infants with acute diarrhoea
PubMed ID: 16297299
Significant changes in plasma K+ with fluid choices in dehydrated infantsâdemonstrates clinical electrolyte management importance.
- The efficiency of potassium removal during bicarbonate hemodialysis
PubMed ID: 16191080
Bicarbonate vs acetate dialysis produced distinct intradialytic K+ dynamics and overall K+ removal equivalence â important for electrolyte management.
- Efficacy and safety of a modified oral rehydration solution (ReSoMaL) in the treatment of severely malnourished children with watery diarrhea
PubMed ID: 14615732
Potassiumâenriched ORS demonstrably corrected hypokalemia faster than standard ORS â direct evidence of restoring K+ balance.
- Intravenous phosphate in the intensive care unit: more aggressive repletion regimens for moderate and severe hypophosphatemia
PubMed ID: 12845429
IV potassium phosphate reliably corrected phosphate but carried a hyperkalemia risk â strong evidence of altering electrolyte balance.
- The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers
PubMed ID: 12844375
Direct randomized evidence that oral KCl supplementation modifies BP and systemic K+ statusâstrong evidence for modulating electrolyte balance.
- Electrolyte intake and nonpharmacologic blood pressure control
PubMed ID: 12495832
Increased potassium intake linked to better BP control and overall sodium/potassium balance in large study.
- Renal effects of selective cyclooxygenase-2 inhibition in normotensive salt-depleted subjects
PubMed ID: 10430112
COX inhibitors produced measurable potassium retention in saltâdepleted subjects â documents drug effects on wholeâbody electrolyte handling.
- Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage
PubMed ID: 10584839
Fludrocortisone caused sodium/water retention and transient hypokalemia in most patients â substantial perturbation of electrolyte balance.
- Effect of sodium in a rehydration beverage when consumed as a fluid or meal
PubMed ID: 9760324
Study showed sodiumâcontaining soups/beverages restored plasma volume better than water after dehydration; potassium content was reported (indirect relevance to fluid/electrolyte balance).
- Effects of potassium supplementation on office, home, and 24-h blood pressure in patients with essential hypertension
PubMed ID: 9799029
Oral K supplementation substantially increased urinary potassium excretion and serum Kâclear impact on electrolyte balance.
- Sagodana based verses rice based oral rehydration solution in the management of acute diarrhoea in Pakistani children
PubMed ID: 9056731
Cerealâbased ORS formulations (containing potassium) performed similarly in treating acute diarrheaârelevant to maintaining fluid balance during rehydration.
- The Eurevie Study: contrasting effect of piretanide and thiazides in mild to moderate hypertension
PubMed ID: 9366100
Large antihypertensive trial documented measurable serum potassium changes with diuretics (thiazide lowered K) and with spironolactone additionâimportant evidence for potassium homeostasis.
- Electrolyte modelling in haemodialysis--potassium
PubMed ID: 8803994
Dialysate potassium management influenced arrhythmia incidence by modifying potassium gradients â relevant to clinical electrolyte management.
- Fluid replacement in burned patients
PubMed ID: 9037790
Burn resuscitation study documented markedly different fluid volumes and ~2Ă potassium administered between formulasâdirectly relevant to fluid and K delivery/maintenance.
- Unchanged central hemodynamics after six months of moderate sodium restriction with or without potassium supplement in essential hypertension
PubMed ID: 7735495
Kârich salt substitute increased potassium excretion relative to regular saltâaffects systemic electrolyte balance.
- Characteristics of individuals who excrete versus retain sodium under stress
PubMed ID: 7562679
Stress provoked increases in sodium and potassium excretion in many subjects and ACE inhibition reversed thisâdemonstrates regulatory control of electrolyte balance.
- Peritonitis occurrence in a multicenter study of icodextrin and glucose in CAPD. MIDAS Study Group. Multicenter Investigation of Icodextrin in Ambulatory Dialysis
PubMed ID: 7578498
ICodextrin in CAPD markedly increased overnight ultrafiltration volume versus glucose solutions â direct effect on ultrafiltration/fluid balance in dialysis patients.
- Hypotonic oral rehydration solution in acute diarrhoea: a controlled clinical trial
PubMed ID: 7780250
Hypotonic ORS (contains K) improved clinical diarrhea outcomes while maintaining serum electrolytes.
- Effect of low-dose prophylactic dopamine on high-dose cisplatin-induced electrolyte wasting, ototoxicity, and epidermal growth factor excretion: a randomized, placebo-controlled, double-blind trial
PubMed ID: 7738626
Documented urinary electrolyte losses (including potassium) in cisplatin therapy highlight electrolyte perturbation.
- Dose-response study of intravenous torsemide in congestive heart failure
PubMed ID: 8037103
IV torsemide increased urinary potassium excretion (clear demonstration of potassium fluxes relevant to overall electrolyte balance).
- Combined therapy of captopril and spironolactone for refractory congestive heart failure
PubMed ID: 7805462
Spironolactone (Kâsparing) with ACE inhibitor improved urinary Na+/K+ ratio and reduced aldosteroneâdirect demonstration of altered electrolyte handling centered on potassium.
- Oral torsemide in patients with chronic congestive heart failure: effects on body weight, edema, and electrolyte excretion. Torsemide Investigators Group
PubMed ID: 7997385
In heart-failure patients, torsemide reduced weight/edema and increased urinary Na and K excretionârelevant to clinical fluid balance management.
- A comparison of Plasmalyte 148 and 0.9% saline for intra-operative fluid replacement
PubMed ID: 7978133
0.9% saline caused hyperchloraemic acidosis vs Plasmalyte with unchanged potassium; demonstrates fluid therapy effects on acidâbase/fluids.
- Comparative efficacy of rice-based and glucose-based oral rehydration salts plus early reintroduction of food
PubMed ID: 8103876
ORS trials (glucose-based ORS contains K+) showed reduced stool output and ORS intake and faster recoveryâdirectly supports fluid/electrolyte repletion.
- Long-term diuretic therapy: effects of dose reduction on antihypertensive efficacy and counterregulatory systems
PubMed ID: 1378114
Reducing diuretic dose lowered hypokalemia incidence while preserving BPâclear clinical relevance to electrolyte balance.
- Effects of hydrochlorothiazide, diltiazem and enalapril on mononuclear cell sodium and magnesium levels in systemic hypertension
PubMed ID: 1951126
Thiazide therapy lowered serum and intracellular potassium and other cations, underscoring clinical electrolyte imbalance risk.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Direct randomized oral potassium replacement study demonstrating reliable restoration of serum potassium with different salts.
- Changes in blood pressure, serum potassium and electrolytes with a combination of triamterene and a low dose of chlorthalidone
PubMed ID: 1778085
Adding triamterene to chlorthalidone reduced thiazide-induced potassium loss while maintaining BPâevidence for strategies to preserve electrolyte balance.
- Maize-salt solution in the treatment of diarrhoea
PubMed ID: 2091361
Maize-salt rehydration study rehydrated children but failed to correct hypokalemia within 24h â directly relevant to rehydration/fluid and K replacement strategies.
- Thermophilic amylase-digested rice-electrolyte solution in the treatment of acute diarrhea in children
PubMed ID: 7530834
Rice-based ORS (containing potassium) reduced ORS volume requirements and improved rehydration outcomes vs WHO ORSâdirect fluidâbalance benefit where K was a component.
- Passive infusion: a simple delivery method for retrograde cardioplegia
PubMed ID: 15745291
Passive retrograde technique changed total K administered â procedural impact on electrolyte dosing.
- Vitamins and minerals intake adequacy in hematopoietic stem cell transplant: results of a randomized controlled trial
PubMed ID: 33257778
Individualized nutrition counseling improved dietary potassium intake, directly affecting body electrolyte status.
- Dietary intervention with a specific micronutrient combination for the treatment of patients with cardiac arrhythmias: the impact on insulin resistance and left ventricular function
PubMed ID: 30509185
Micronutrient tablet including ~469 mg K modestly raised serum and urinary K â direct evidence of changing electrolyte balance.
- Safety and efficacy of oral DMSA therapy for children with autism spectrum disorders: Part A--medical results
PubMed ID: 19852789
DMSA markedly increased urinary potassium excretion (large, quantitated effect), directly demonstrating perturbation of electrolyte balance.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Rice-based ORS produced substantially greater fluid absorption and reduced stool output, directly restoring fluid balance in dehydrated infants.
- Effect of low-potential renal acid load diet intervention on urinary lithogenic parameters in recurrent calcium urolithiasis patients (A Preliminary Randomized Controlled Trialďź
PubMed ID: 41251791
Potassium citrate produced significant changes in urinary potassium and PRAL â direct electrolyte and acidâbase effects.
- Mineralocorticoid receptor antagonism of vamorolone: Evidence from LIONHEART and VISION-DMD clinical trials
PubMed ID: 40957504
Vamorolone restored urinary Na+/K+ ratio after fludrocortisone challenge, showing drug-mediated shifts in electrolyte handling (physiologic relevance).
- Effect of sodium zirconium cyclosilicate on hyperkalemia after parathyroidectomy in secondary hyperparathyroidism patients with maintenance hemodialysis: A randomized trial
PubMed ID: 39969301
Sodium zirconium cyclosilicate given perioperatively markedly blunted postoperative hyperkalemia in dialysis patients, strong electrolyte-control evidence.
- Effects of dialysate potassium concentration of 3.0 mmol/l with sodium zirconium cyclosilicate on dialysis-free days versus dialysate potassium concentration of 2.0 mmol/l alone on rates of cardiac arrhythmias in hemodialysis patients with hyperkalemia
PubMed ID: 39490411
Dialysate K elevation plus oral SZC kept serum potassium in target range and reduced hypokalemia events â strong electrolyte-balance evidence in dialysis patients.
- Efficacy and safety of calcium polystyrene sulfonate in patients with hyperkalemia and stage 3-5 non-dialysis chronic kidney disease: a single-center randomized controlled trial
PubMed ID: 37063062
Calcium polystyrene sulfonate produced dose-dependent reductions in serum potassium in CKD â direct therapeutic effect on electrolyte balance.
- A nomogram to predict hyperkalemia in patients with hemodialysis: a retrospective cohort study
PubMed ID: 36319967
Predictive model for hyperkalemia in hemodialysis patients directly concerns electrolyte (potassium) balance and its predictors.
- Balanced forced-diuresis as a renal protective approach in cardiac surgery: Secondary outcomes of electrolyte changes
PubMed ID: 34414606
RenalGuard markedly increased urine output and required higher K replacement while maintaining serum K â direct fluid/electrolyte management relevance.
- Dietary Advice in Hemodialysis Patients: Impact of a Telehealth Approach During the COVID-19 Pandemic
PubMed ID: 34147308
Telehealth nutrition counseling reduced serum potassium and phosphorus in hemodialysis patients, improving clinically important electrolyte control.
- Effectiveness of Medical Nutrition Therapy to Improve Dietary Habits for Promoting Bone Health in People Living with Chronic HIV
PubMed ID: 33027800
Medical nutrition therapy increased dietary potassium intake, directly affecting electrolyte intake status.
- Multimodal Nutritional Management in Primary Lumbar Spine Surgery: A Randomized Controlled Trial
PubMed ID: 30817733
A perioperative nutrition protocol that included potassium raised postoperative serum K and reduced hypokalemia/events, improving fluid/electrolyte status.
- Calcium-Polystyrene Sulfonate Decreases Inter-Dialytic Hyperkalemia in Patients Undergoing Maintenance Hemodialysis: A Prospective, Randomized, Crossover Study
PubMed ID: 30109784
Potassium binder in dialysis meaningfully lowered serum potassium and affected serum phosphateâdirect electrolyte balance intervention.
- Effects of the Potassium-Binding Polymer Patiromer on Markers of Mineral Metabolism
PubMed ID: 30381412
Patiromer led to changes in urinary phosphate and PTH while altering potassium handlingâstrong evidence of effects on electrolyte/mineral balance.
- Renal tubular effects of prolonged therapy with the GLP-1 receptor agonist lixisenatide in patients with type 2 diabetes mellitus
PubMed ID: 30353743
GLPâ1 increased urinary potassium excretionâdemonstrates changes in electrolyte handling.
- Multimodal Nutritional Management in Primary Total Knee Arthroplasty: A Randomized Controlled Trial
PubMed ID: 28697860
Perioperative nutrition protocol reduced hypokalemia incidenceâdirect improvement in electrolyte balance.
- [Long-term effect of environmental cadmium exposure on human body's mineral metabolic balance]
PubMed ID: 27029362
Cadmium exposure associated with altered urinary K and other minerals â evidence of disrupted electrolyte balance.
- Electrolyte and mineral disturbances in septic acute kidney injury patients undergoing continuous renal replacement therapy
PubMed ID: 27603344
Septic AKI/CRRT cohort emphasizes frequent K disturbances and the clinical importance of correcting electrolytes.
- Effect of amiloride, or amiloride plus hydrochlorothiazide, versus hydrochlorothiazide on glucose tolerance and blood pressure (PATHWAY-3): a parallel-group, double-blind randomised phase 4 trial
PubMed ID: 26489809
Clear demonstration that amiloride raised plasma potassium (+0.63 mmol/L) while HCTZ lowered itâstrong evidence for influence on K balance.
- Treatment of hyperkalemia in patients with chronic kidney disease: a comparison of calcium polystyrene sulphonate and sodium polystyrene sulphonate
PubMed ID: 25672163
Potassiumâbinding resins in CKD directly altered serum potassiumâstrong electrolyte management evidence.
- Phosphate levels in patients treated with low-flux haemodialysis, pre-dilution haemofiltration and haemodiafiltration: post hoc analysis of a multicentre, randomized and controlled trial
PubMed ID: 24557989
Dialysis cohort identified pre-dialysis potassium as a major correlate of serum phosphateâties K to broader electrolyte regulation.
- Potassium binders in hemodialysis patients: a friend or foe?
PubMed ID: 23402387
Potassiumâbinder use in dialysis patients pertains directly to maintaining potassium homeostasis though adherence limited effectiveness.
- Potassium citrate supplementation results in sustained improvement in calcium balance in older men and women
PubMed ID: 22991267
Potassium citrate decreased urinary calcium and net acid excretion â demonstrates potassium's systemic electrolyte/ion effects.
- Effect of potassium citrate on bone density, microarchitecture, and fracture risk in healthy older adults without osteoporosis: a randomized controlled trial
PubMed ID: 23162100
Long-term potassium citrate supplementation produced bone and mineral effects â relevant to wider mineral/electrolyte homeostasis.
- Effect of intradialytic aerobic exercise on serum electrolytes levels in hemodialysis patients
PubMed ID: 22388610
Intradialytic exercise altered serum potassium and phosphate in hemodialysis patients â relevant to intradialytic fluid/electrolyte management.
- Enhanced feeding in very-low-birth-weight infants may cause electrolyte disturbances and septicemia--a randomized, controlled trial
PubMed ID: 23043722
Enhanced feeding caused clinically significant hypokalemia events in VLBW infants â indicates effects on electrolyte balance.
- Alkaline citrate reduces stone recurrence and regrowth after shockwave lithotripsy and percutaneous nephrolithotomy
PubMed ID: 22099273
Potassiumâsodium citrate normalized urinary citrate and other chemistriesâstrong electrolytic correction in stone formers.
- Influence of dietary modifications on the blood pressure response to antihypertensive medication
PubMed ID: 20807467
LowâNa, highâK dietary intervention directly manipulated potassium intake and produced BP and surrogate electrolyteâbalance effects.
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
KCl and KHCO3 raised urinary K, improved endothelial measures and altered urinary calciumâdirect evidence K supplementation modulates electrolyte balance.
- The genetics of loop diuretic effects
PubMed ID: 20877298
Quantified urinary K excretion variability with diuretic and geneticsârelevant to electrolyte balance.
- Risk of hyperkalemia in nondiabetic patients with chronic kidney disease receiving antihypertensive therapy
PubMed ID: 19786678
CKD trial/dataset identified determinants of hyperkalemia risk â directly relevant to electrolyte balance and safety.
- Compound ion salt, a novel low-sodium salt substitute: from animal study to community-based population trial
PubMed ID: 19661926
Salt substitute that replaces Na with K altered urinary sodium excretion and BP â directly relevant to electrolyte replacement/balance.
- Effects of manidipine/delapril versus olmesartan/hydrochlorothiazide combination therapy in elderly hypertensive patients with type 2 diabetes mellitus
PubMed ID: 18360017
HCTZ regimen caused serum K declineâdemonstrates how diuretics alter electrolyte/fluid balance.
- Hydrochlorothiazide efficacy and polymorphisms in ACE, ADD1 and GNB3 in healthy, male volunteers
PubMed ID: 16450155
Measured substantial K loss with HCTZâdirect data on electrolyte perturbation.
- Cardiovascular outcomes in the African American Study of Kidney Disease and Hypertension (AASK) Trial
PubMed ID: 17059993
Urine sodiumâpotassium ratio associated with CV riskâsupports the physiologic importance of Na/K balance in fluid/electrolyte status.
- Reduction of blood pressure with calcium and potassium supplementation in children with salt sensitivity: a 2-year double-blinded placebo-controlled trial
PubMed ID: 15759021
Calcium+potassium supplementation increased sodium excretion and moderated BPâshows beneficial shifts in electrolyte handling.
- The effects of potassium and magnesium supplementations on urinary risk factors of renal stone patients
PubMed ID: 15117041
Potassiumâcontaining salts increased urinary K and citrate and altered urine chemistryâdirect electrolyte effects relevant to stone prevention.
- Long-term persistence of the urine calcium-lowering effect of potassium bicarbonate in postmenopausal women
PubMed ID: 15572425
Longâterm potassium bicarbonate produced sustained changes in urinary calcium (electrolyte handling) in postmenopausal women.
- Electrolytic disturbances and colonoscopy: bowel lavage solutions, age and procedure
PubMed ID: 14972007
Demonstrates clinically important drops in serum K after certain bowel prepsâevidence of clinical electrolyte perturbation.
- [Long term observation in effects of potassium and calcium supplementation on arterial blood pressure and sodium metabolism in adolescents with higher blood pressure]
PubMed ID: 12839657
Salt replaced with potassium (plus calcium) altered urinary Na/K and lowered BP â urinary electrolyte shifts reflect effects on fluid/electrolyte balance.
- Influence of the angiotensin II receptor antagonist losartan on diuretic-induced metabolic effects in elderly hypertensive patients: comparison with a calcium channel blocker
PubMed ID: 11680666
Losartan+diuretic avoided K loss seen with nifedipine+diuretic â demonstrates pharmacologic preservation of K and electrolyte balance.
- Validation of diet composition for the Dietary Approaches to Stop Hypertension trial. DASH Collaborative Research Group
PubMed ID: 10450296
DASH menu analyses validated differences in dietary K (and other minerals) across diets â supports dietary electrolyte balance as a mechanism.
- Physiological effects of slow release potassium phosphate for absorptive hypercalciuria: a randomized double-blind trial
PubMed ID: 9720517
Potassium phosphate altered urinary calcium and vitamin Dâaffects mineral/electrolyte relationships.
- Acetate hemodialysis does not increase the frequency of arrhythmia in hemodialysis patients
PubMed ID: 9754465
Acetate hemodialysis produced large acute drops in serum potassium â highlights importance of monitoring/maintaining electrolyte balance.
- Potassium-magnesium citrate is an effective prophylaxis against recurrent calcium oxalate nephrolithiasis
PubMed ID: 9366314
Potassiumâmagnesium citrate provides potassium plus magnesium and significantly reduced stone recurrenceâdemonstrates therapeutic electrolyte supplementation.
- Magnesium repletion and its effect on potassium homeostasis in critically ill adults: results of a double-blind, randomized, controlled trial
PubMed ID: 8565536
Magnesium repletion substantially improved net potassium balance in hypokalemic ICU patients â important clinical demonstration of electrolyte interaction and restoration.
- Ramipril decreases chlorthalidone-induced loss of magnesium and potassium in hypertensive patients
PubMed ID: 8750365
Ramipril added to chlorthalidone reduced urinary K and Mg losses compared with diuretic alone â direct evidence of preserving electrolyte balance.
- Randomized double-blind study of potassium citrate in idiopathic hypocitraturic calcium nephrolithiasis
PubMed ID: 8230497
Potassium citrate increased urinary potassium and citrate while dramatically reducing stone formation â strong evidence of potassium's effects on urinary electrolytes and balance.
- The effects of nonpharmacologic interventions on blood pressure of persons with high normal levels. Results of the Trials of Hypertension Prevention, Phase I
PubMed ID: 1586398
Direct potassium supplementation RCTâmost relevant to changes in electrolyte/mineral status even though no BP effect was seen.
- Dietary modulators of blood pressure in hypertension
PubMed ID: 2364920
Dietary intervention raised serum potassium substantially and improved BP â direct evidence that potassiumârich diets alter electrolyte status.
- Serum potassium in the PARADIGM-HF trial
PubMed ID: 32809261
Large HF trial documented small but significant shifts in serum potassium distribution between treatments, informing K balance.
- Genetic factors associated with elevation of uric acid after treatment with thiazide-like diuretic in patients with essential hypertension
PubMed ID: 31748705
Indapamide lowered serum potassium â clear evidence of drug-induced electrolyte disturbance needing management.
- Initiating sacubitril/valsartan (LCZ696) in heart failure: results of TITRATION, a double-blind, randomized comparison of two uptitration regimens
PubMed ID: 27170530
Uptitration regimens produced differing hyperkalaemia incidences â data on K homeostasis during therapy initiation.
- Effects of Sacubitril/Valsartan (LCZ696) on Natriuresis, Diuresis, Blood Pressures, and NT-proBNP in Salt-Sensitive Hypertension
PubMed ID: 27849566
Sacubitril/valsartan increased natriuresis and diuresis (fluid excretion) â mechanisms that interact with K and fluid balance.
- Efficacy and safety of two treatment combinations of hypertension in very elderly patients
PubMed ID: 18457886
Elderly ARB+HCTZ group showed a significant K decrease (â0.4 mmol/L), demonstrating thiazide impact on electrolytes.
- Metabolic and antihypertensive effects of combined angiotensin receptor blocker and diuretic therapy in prediabetic hypertensive patients with the cardiometabolic syndrome
PubMed ID: 19120715
HCTZ-associated potassium lowering and metabolic effects documented in a randomized trial â relevant to electrolyte balance.
- Lime powder regimen supplement alleviates urinary metabolic abnormalities in urolithiasis patients
PubMed ID: 30225852
Lime powder regimen increased urinary potassium and citrate and improved lithogenic markersâevidence of electrolyte/acidâbase effects.
- Potassium Citrate is Better in Reducing Salt and Increasing Urine pH than Oral Intake of Lemonade: A Cross-Over Study
PubMed ID: 29605825
Oral potassium citrate increased urine pH and decreased urine sodium in childrenâdemonstrates electrolyte redistribution with potassium therapy.
- Can lemon juice be an alternative to potassium citrate in the treatment of urinary calcium stones in patients with hypocitraturia? A prospective randomized study
PubMed ID: 18946667
Potassium citrate and lemon juice substantially increased urinary citrate and urinary potassium while reducing urinary calciumâdirect electrolyte effects.
- Citraturic, alkalinizing and antioxidative effects of limeade-based regimen in nephrolithiasis patients
PubMed ID: 18560820
Lime drink (21 mEq K) increased urinary potassium and altered urinary pH/citrateâdemonstrates potassium's role in electrolyte handling.
- Potassium excretion in healthy Japanese women was increased by a dietary intervention utilizing home-parcel delivery of Okinawan vegetables
PubMed ID: 16940700
Okinawan vegetable intervention raised urinary potassium by ~20% â direct effect on electrolyte status.
- Effects of cooking using multi-ply cookware on absorption of potassium and vitamins: a randomized double-blind placebo control study
PubMed ID: 22229802
Direct RCT evidence of increased 24âhr urinary potassium indicating altered electrolyte status after dietary change.
- Increasing vegetable and fruit intake: randomized intervention and monitoring in an at-risk population
PubMed ID: 10750670
Fruit/veg intervention produced a clear rise in urinary potassium â direct marker of improved electrolyte balance.
- Clinical effect of TESSYS technique under spinal endoscopy combined with drug therapy in patients with lumbar disc herniation and its effect on quality of life and serum inflammatory factors: results of a randomized trial
PubMed ID: 34488362
Explicitly included 10% potassium chloride in a clinical regimenâdirect involvement of potassium chloride and therefore electrolyte balance, though mixed with other agents.
- Warm blood hyperkalaemic reperfusion ('hot shot') prevents myocardial substrate derangement in patients undergoing coronary artery bypass surgery
PubMed ID: 9663539
Intentional hyperkalaemic reperfusion altered myocardial ionic milieu and preserved metabolism â direct manipulation of extracellular K+.
- Efficacy and safety of tolvaptan in heart failure patients with volume overload despite the standard treatment with conventional diuretics: a phase III, randomized, double-blind, placebo-controlled study (QUEST study)
PubMed ID: 22120092
Tolvaptan produced aquaresis and reduced congestion/weight in HF patients â strong fluidâbalance effects, though not from potassium supplementation.
- The role of urine osmolality and ions in the pathogenesis of primary enuresis nocturna and in the prediction of responses to desmopressin and conditioning therapies
PubMed ID: 16362593
Reduced nightly potassium excretion noted in enuretics â direct K excretion observation.
- Vasopressin V2-receptor blockade with tolvaptan in patients with chronic heart failure: results from a double-blind, randomized trial
PubMed ID: 12742979
Tolvaptan produced marked aquaresis and reduced body weight/edema â strong fluid-balance effect.
- Diuretic effect of clonidine during isoflurane, nitrous oxide, and oxygen anesthesia
PubMed ID: 7943831
Directly measured increased urinary potassium excretion (kaliuresis) â clear electrolyte-handling data.
- Nutritional factors for stroke and major cardiovascular diseases: international epidemiological comparison of dietary prevention
PubMed ID: 7919085
Population data linking Na/K ratio to BP and stroke imply the importance of maintaining electrolyte balance (adequate potassium relative to sodium).
- Mannitol vs placebo for brain relaxation in cerebellopontine angle tumor surgeries: A randomized controlled trial
PubMed ID: 40156990
Mannitol caused measurable intraoperative electrolyte shifts (notably a modest K rise) and higher urine output â demonstrates acute electrolyte perturbations associated with fluid therapies.
- Safety and efficacy of alcohol-mediated bilateral adrenal artery embolization in patients with idiopathic hyperaldosteronism: a 6-month follow-up of a randomized controlled trial
PubMed ID: 40468047
Intervention in hyperaldosteronism led to correction of potassium abnormalities â strong clinical evidence that correcting disease processes normalizes potassium/electrolyte balance.
- Low-dose of magnesium sulfate solution was not inferior to standard regime of polyethylene glycol for bowel preparation in elderly patients: a randomized, controlled study
PubMed ID: 35920250
Large RCT showed differential serum potassium changes between bowelâprep regimensâdirect evidence about clinical electrolyte handling.
- A Safety and Efficacy Comparison of a New Sulfate-Based Tablet Bowel Preparation Versus a PEG and Ascorbate Comparator in Adult Subjects Undergoing Colonoscopy
PubMed ID: 33165006
Oral sulfate tablet prep contains KCl and produced only small electrolyte changesâdirect relevance to electrolyte safety/handling.
- Glucosuric, renal and haemodynamic effects of licogliflozin, a dual inhibitor of sodium-glucose co-transporter-1 and sodium-glucose co-transporter-2, in patients with chronic kidney disease: A randomized trial
PubMed ID: 33512754
Licogliflozin trial directly measured urinary electrolytes including potassium and showed significant changes â relevant to electrolyte balance.
- The Effects of Two Intervention Strategies to Reduce the Intake of Salt and the Sodium-To-Potassium Ratio on Cardiovascular Risk Factors. A 4-Month Randomised Controlled Study among Healthy Families
PubMed ID: 32438659
Dietary salt reduction produced meaningful decreases in urinary Na:K ratio and associated BP/renin benefitsâdirect electrolyteâbalance evidence.
- Associations between Dietary Patterns and Blood Pressure in a Clinical Sample of Overweight Adults
PubMed ID: 27666380
Dietary pattern with Kârich foods correlated with a healthier urinary Na:K ratioâsupports electrolyte balance.
- Changes in selected metabolic parameters in patients over 65 receiving hydrochlorothiazide plus amiloride, atenolol or placebo in the MRC elderly trial
PubMed ID: 27716064
Large RCT documents drug-related serum K decreasesâdemonstrates clinically meaningful electrolyte perturbation.
- Impact of light salt substitution for regular salt on blood pressure of hypertensive patients
PubMed ID: 25409877
Intervention with potassiumâenriched salt altered urinary sodium and produced BP benefitsâdirect evidence that changing K intake affects overall electrolyte balance.
- Randomised clinical trial: Polyethylene glycol 3350 with sports drink vs. polyethylene glycol with electrolyte solution as purgatives for colonoscopy--the incidence of hyponatraemia
PubMed ID: 25066025
Bowelâprep with sports drink led to measurable serum electrolyte changes including potassium; relevant to electrolyte management.
- The influence of a physician and patient intervention program on dietary intake
PubMed ID: 23999279
Dietary intervention increased urinary K (intake biomarker)âevidence for modifiable K/electrolyte status via diet.
- A nutrient-wide association study on blood pressure
PubMed ID: 23093587
Strong population evidence that the urinary sodiumâtoâpotassium ratio associates with BP, highlighting the importance of potassium in electrolyte balance.
- Association of KCNJ1 variation with change in fasting glucose and new onset diabetes during HCTZ treatment
PubMed ID: 22907731
Genetic variation in renal K channel associates with serum K changesâstrong biological tie to electrolyte homeostasis.
- Levosalbutamol vs racemic salbutamol in the treatment of acute exacerbation of asthma
PubMed ID: 20012785
Racemic salbutamol produced clinically significant reductions in serum potassium in childrenâclear demonstration of K perturbation by drugs.
- Clinical trial: the efficacy and safety of routine bowel cleansing agents for elective colonoscopy in persons with spinal cord injury - a randomized prospective single-blind study
PubMed ID: 19769634
Phosphate bowel preparations produced transient potassium changesârelevant to electrolyte balance management.
- Genetic variation in the renal sodium transporters NKCC2, NCC, and ENaC in relation to the effects of loop diuretic drugs
PubMed ID: 17460608
Genetic variation in renal sodium transporters influences diuretic response and thus secondary K handling (electrolyte context).
- A safety and feasibility study comparing an intermittent high dose with a daily standard dose of liposomal amphotericin B for persistent neutropenic fever
PubMed ID: 19589901
Different amphotericin dosing led to fewer hypokalaemic days and fewer Kâsupplement daysâimportant for K balance in clinical care.
- Randomized Trial to Assess the Safety and Tolerability of Daily Intake of an Allulose Amino Acid-Based Hydration Beverage in Men and Women
PubMed ID: 38892699
Potassiumâcontaining hydration powder was tested as an electrolyte/hydration product and found safe with small K/eGFR changes.
- Investigating the Effects of Moxibustion on Gastrointestinal Function and Gut Microbiota in Chronic Renal Failure: A CARE Non-Placebo Randomized Controlled Study in Peritoneal Dialysis Patients
PubMed ID: 40258348
Moxibustion+PD reduced serum K in dialysis patientsâaltered electrolyte status in a renal population.
- Nebulized albuterol in acute childhood asthma: comparison of two doses
PubMed ID: 2216613
High-dose nebulized albuterol associated with a fall in serum potassium in children â direct K shift evidence.
- Comparison of a new sulfate-free polyethylene glycol electrolyte lavage solution versus a standard solution for colonoscopy cleansing
PubMed ID: 2365214
Randomized trial showing PEG bowel prep can lower serum K by 0.22 mEq/L â direct electrolyte balance data.
- Effects of exercise testing, training and beta blockade on serum potassium in normal subjects
PubMed ID: 2337035
Betaâblocker treatment modified the exercise-related serum potassium riseâshows pharmacologic modulation of K handling.
- [Bowel cleansing prior to colonoscopy. A prospective, randomized, blind comparative study]
PubMed ID: 2233588
Small but measurable serum K decrease with certain bowel preps (â0.32 mmol/L) â relevant to electrolyte balance.
- Bisoprolol vs. chlorthalidone: a randomized, double-blind, comparative study in arterial hypertension
PubMed ID: 11527126
Chlorthalidone decreased serum potassium significantly â clear evidence concerning electrolyte disturbances from diuretics.
- Serum potassium levels after induction of epidural anaesthesia using mepivacaine with and without adrenaline
PubMed ID: 2024567
Arterial potassium fell â0.3 mmol/L when adrenaline was added to anesthetic â direct measurement of potassium perturbation.
- Hypokalemia before induction of anesthesia and prevention by beta 2 adrenoceptor antagonism
PubMed ID: 1845926
Clear, clinically relevant preoperative potassium decreases (~0.8 mEq/L) mediated by betaâ2 receptors â strong evidence of potassium flux relevance to electrolyte balance.
- The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group
PubMed ID: 2064494
Dietary interventions in this large trial included potassium changes which influence natriuresis and fluid status as part of BP effects.
- Effects of ketorolac trometamol on renal function
PubMed ID: 1642936
Change in urinary potassium excretion with ketorolac indicates renal/electrolyte handling of K+ was affected.
- Renin predicts diastolic blood pressure response to nonpharmacologic and pharmacologic therapy
PubMed ID: 1538559
Randomized dietary manipulation (lowâsodium/highâpotassium) showed BP changes consistent with altered electrolyte handling; dietary K+ effect implicated.
- Trial of antihypertensive intervention and management: greater efficacy with weight reduction than with a sodium-potassium intervention
PubMed ID: 8454808
Randomized dietary intervention produced clear increases in potassium intake and urinary excretionâstrong evidence about dietary potassium affecting body K balance.
- Metabolic effects of propranolol and hydroflumethiazide treatment in Kenyans with mild to moderate essential hypertension
PubMed ID: 8033771
Thiazide diuretics significantly reduced serum potassium in hypertensive subjectsâimportant clinical evidence about electrolyte balance perturbation requiring K monitoring.
- Insulin decreases the serum potassium concentration during the anhepatic stage of liver transplantation
PubMed ID: 8466068
IV insulin with glucose produced rapid, large decreases in serum potassium and controlled reperfusion hyperkalaemiaârobust clinical evidence of K shifting.
- Influence of different glucose-insulin-potassium regimes on glucose homeostasis and hormonal response in cardiac surgery patients
PubMed ID: 8424497
GIK regimens administered a defined potassium load (70 mmol) during bypassârelevant to perioperative K management.
- Lack of effectiveness of a low-sodium/high-potassium diet in reducing antihypertensive medication requirements in overweight persons with mild hypertension. TAIM Research Group. Trial of Antihypertensive Interventions and Management
PubMed ID: 7826557
Dietary low-sodium/high-potassium intervention produced a measurable increase in urinary K excretion, directly addressing K intake/excretion balance.
- Intravenous infusion or nebulization of salbutamol for treatment of hyperkalemia in patients with chronic renal failure
PubMed ID: 8039040
Direct, large, and quantifiable plasma K decreases after salbutamol in patients with renal failureâstrong evidence about acute K shifts and electrolyte balance.
- Safety of concomitant potassium-sparing diuretics in angiotensin-converting enzyme inhibitor therapy in severe congestive heart failure. Xamoterol in Severe Heart Failure Study Group
PubMed ID: 7526050
Large trial documenting hyperkalaemia events and the need to monitor potassium when combining potassium-sparing diuretics and ACE inhibitorsâhighly relevant to electrolyte balance.
- Effect of training on blood volume and plasma hormone concentrations in the elderly
PubMed ID: 7898342
Endurance training increased plasma and blood volume but did not change serum K; demonstrates exercise effects on fluid compartments relevant to K distribution.
- Cardiovascular safety of high doses of inhaled fenoterol and albuterol in acute severe asthma
PubMed ID: 8797398
Large RCT in acute asthma showing differential serum K decreases between bronchodilatorsâclear evidence of K shifts with clinical relevance.
- Oral sodium phosphate versus sulfate-free polyethylene glycol electrolyte lavage solution in outpatient preparation for colonoscopy: a prospective comparison
PubMed ID: 8903817
Bowel prep produced significant K and ionized calcium drops vs baselineâimportant electrolyte changes.
- Bowel preparation for colonoscopy: a randomized prospective trail comparing sodium phosphate and polyethylene glycol in a predominantly elderly population
PubMed ID: 8672752
Sodium phosphate prep produced a measurable lowering of serum K (~0.4 mmol/L)ârelevant to clinical electrolyte balance.
- Treatment of hyperkalaemia by altering the transcellular gradient in patients with renal failure: effect of various therapeutic approaches
PubMed ID: 9487416
Direct, comparative study of therapies to lower high potassium in renal failureâcentral to electrolyte balance management.
- Ritodrine- and terbutaline-induced hypokalemia in preterm labor: mechanisms and consequences
PubMed ID: 9186877
Clear demonstration of rapid, large potassium shifts with beta-agonistsâhighly relevant to electrolyte balance.
- The effects of antihypertensive combination therapy on lipid and glucose metabolism: hydrochlorothiazide plus sotalol vs. hydrochlorothiazide plus captopril
PubMed ID: 9208337
Chronic antihypertensive therapy produced decreases in serum potassiumâimportant for long-term electrolyte balance.
- Fenoterol but not dobutamine increases erythropoietin production in humans
PubMed ID: 9209250
Fenoterol lowered blood potassium after bleeding â direct demonstration of K change under pharmacologic stress.
- Beta 2-agonists administered by a dry powder inhaler can be used in acute asthma
PubMed ID: 9616507
Shows measurable decreases in serum potassium related to inhaler technique/delivery; relevant to how interventions affect potassium balance.
- Comparison of chlorthalidone, propranolol and bopindolol in six-month treatment of arterial hypertension
PubMed ID: 9675624
Thiazide-induced modest K fall exemplifies clinical causes of electrolyte disturbance.
- Bowel preparation for colonoscopy: comparison of mannitol and sodium phosphate. Results of a prospective randomized study
PubMed ID: 10881066
Bowel preparation caused significant changes in serum potassium among other electrolytes â pertinent to electrolyte balance concerns in clinical care.
- Potassium-adsorption filter for RBC transfusion: a phase III clinical trial
PubMed ID: 11134566
Direct, largeâmagnitude removal of potassium from stored RBCs (â94% removal) â strong direct evidence for manipulating K+ content.
- Low-dose levalbuterol in children with asthma: safety and efficacy in comparison with placebo and racemic albuterol
PubMed ID: 11742271
Large pediatric trial showed modest but consistent serum K+ decreases with bronchodilators (â0.3 to â0.6 mEq/L).
- Safety of formoterol Turbuhaler at cumulative dose of 90 microg in patients with acute bronchial obstruction
PubMed ID: 11829098
Formoterol and terbutaline both lowered serum K+, with terbutaline producing larger drops (quantified values).
- Hypertonic saline solution: a safe alternative to mannitol 18% in neurosurgery
PubMed ID: 11731749
Hypertonic saline vs mannitol: potassium fell modestly and osmolality and sodium changes were tracked â direct fluid/electrolyte balance relevance.
- [Prospective randomized single-blind trial comparing oral sodium phosphate with polyethylene glycol for colonoscopy preparation]
PubMed ID: 11275616
Sodiumâphosphate bowel prep produced a measurable decrease in serum potassium â clear electrolyte impact.
- Clonidine premedication prevents preoperative hypokalemia
PubMed ID: 11880014
Clonidine prevented preoperative hypokalemia and increased mean serum K vs control â direct effect on maintaining K levels.
- Formoterol (OXIS) Turbuhaler as a rescue therapy compared with salbutamol pMDI plus spacer in patients with acute severe asthma
PubMed ID: 14509562
Formoterol caused a modest (â0.2 mmol/L) decrease in serum potassium in acute asthma patients â evidence of K shifts.
- Bowel preparation for colonoscopy in very old patients: a randomized prospective trial comparing oral sodium phosphate and polyethylene glycol electrolyte lavage solution
PubMed ID: 12678340
Oral sodium phosphate bowel prep produced a modest but significant potassium decrease vs PEG â relevant to electrolyte balance.
- Polyethylene glycol versus sodium phosphate in bowel cleansing for colonoscopy: a randomized trial
PubMed ID: 15933926
Sodium-phosphate bowel prep caused significant serum potassium decreases and phosphate increases â clear electrolyte-balance evidence.
- Factorial antihypertensive study of an extended-release metoprolol and hydrochlorothiazide combination
PubMed ID: 17161766
HCT in a large RCT reproducibly reduced serum Kâclear clinical signal about electrolyte disturbance.
- Phosphate salt bowel preparation regimens alter perioperative acid-base and electrolyte balance
PubMed ID: 16434755
Phosphate bowel prep produced modest but consistent perioperative decreases in serum K and more abnormal values.
- A randomized, multicenter study comparing the safety and efficacy of sodium phosphate tablets with 2L polyethylene glycol solution plus bisacodyl tablets for colon cleansing
PubMed ID: 17573796
NaP colon prep caused larger and more frequent potassium and other electrolyte changesâdirect evidence about K/electrolyte perturbation.
- Changes in serum potassium mediate thiazide-induced diabetes
PubMed ID: 18981326
Large trial showing thiazide-induced K decreases that mediated metabolic riskâstrong evidence of clinical importance of maintaining K balance.
- Nebulized formoterol fumarate: Dose selection and pharmacokinetics
PubMed ID: 18655841
Nebulized formoterol produced a dose-dependent transient fall in serum Kârelevant to drug-induced electrolyte shifts.
- LY3045697: Results from two randomized clinical trials of a novel inhibitor of aldosterone synthase
PubMed ID: 28814143
LY3045697 inhibited aldosterone and raised serum K doseâdependentlyâdirect effect on systemic K balance.
- Comparison of enteral versus intravenous potassium supplementation in hypokalaemia in paediatric patients in intensive care post cardiac surgery: open-label randomised equivalence trial (EIPS)
PubMed ID: 28495809
Randomized comparison showing enteral potassium replacement is as effective as IV for correcting serum potassiumâdirect electrolyte balance evidence.
- Effects of bumetanide on neurobehavioral function in children and adolescents with autism spectrum disorders
PubMed ID: 28291262
Bumetanide produced doseâdependent hypokalemia â directly relevant to electrolyte balance and the need for K+ monitoring/supplementation.
- Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis
PubMed ID: 29198641
Behavioral program in HD patients led to improved serum potassium controlâpractical evidence for better electrolyte balance.
- Probiotic Supplementation in Chronic Kidney Disease: A Double-blind, Randomized, Placebo-controlled Trial
PubMed ID: 28888762
Probiotics in HD patients increased serum potassium significantlyâshows interventions can alter potassium levels.
- A Trial of Extending Hemodialysis Hours and Quality of Life
PubMed ID: 28151412
Extendedâhours hemodialysis decreased serum potassium in an RCTâdemonstrates interventionâdriven change in potassium levels.
- Rationale, design, and baseline characteristics of the Salt Substitute and Stroke Study (SSaSS)-A large-scale cluster randomized controlled trial
PubMed ID: 28577665
Salt substitute design trial uses potassium enrichment to alter sodium/potassium balance populationâwide (protocol paper).
- Effectiveness of a Self-monitoring Device for Urinary Sodium-to-Potassium Ratio on Dietary Improvement in Free-Living Adults: a Randomized Controlled Trial
PubMed ID: 29093302
Urinary Na/K self-monitoring targeted dietary Na/K ratio and produced small increases in urinary K excretion â directly about electrolyte balance behavior.
- Feasibility of collecting 24-h urine to monitor sodium intake in the National Health and Nutrition Examination Survey
PubMed ID: 27413136
NHANES 24-h urine feasibility study produced usable population-level potassium excretion data â supports monitoring of electrolyte balance at population level.
- Individual variation in urinary sodium excretion among adolescent girls on a fixed intake
PubMed ID: 27176144
Study documented large intra-individual day-to-day variability in urinary K, important for accurate assessment of electrolyte status and balance.
- Rationale and Design of the ATHENA-HF Trial: Aldosterone Targeted Neurohormonal Combined With Natriuresis Therapy in Heart Failure
PubMed ID: 27522631
ATHENAâHF protocol emphasises monitoring for hyperkalemia with spironolactone, highlighting the electrolyte safety considerations in therapy.
- Comparison of telmisartan/amlodipine and telmisartan/hydrochlorothiazide in the treatment of Japanese patients with uncontrolled hypertension: the TAT-Kobe study
PubMed ID: 26719915
Addition of HCTZ to telmisartan reduced serum potassiumâillustrates how common drugs affect potassium balance (clinical relevance).
- Na/K citrate versus sodium bicarbonate in prevention of contrast-induced nephropathy
PubMed ID: 27215244
Na/K citrate (contains K) modestly preserved serum K versus bicarbonate after contrastâevidence of K contribution to electrolyte status.
- Treatment with patiromer decreases aldosterone in patients with chronic kidney disease and hyperkalemia on renin-angiotensin system inhibitors
PubMed ID: 27350174
Patiromer directly lowers serum K (binds K+) and thereby alters electrolyte balance in CKD patients.
- Does education level affect the efficacy of a community based salt reduction program? - A post-hoc analysis of the China Rural Health Initiative Sodium Reduction Study (CRHI-SRS)
PubMed ID: 27515930
Community saltâsubstitution trial directly increased urinary K and lowered Na/K ratioâstrong evidence for improving electrolyte balance via K.
- The impact of oat (Avena sativa) consumption on biomarkers of renal function in patients with chronic kidney disease: A parallel randomized clinical trial
PubMed ID: 28003041
CKD oat intervention directly measured and influenced serum potassium changes, relevant to electrolyte balance in renal patients.
- Sodium Intake and All-Cause Mortality Over 20 Years in the Trials of Hypertension Prevention
PubMed ID: 27712772
TOHP analyses found sodium:potassium ratio predicted longâterm mortalityâsupports importance of Na/K balance.
- The Effects of a Community-Based Sodium Reduction Program in Rural China - A Cluster-Randomized Trial
PubMed ID: 27935977
Cluster RCT of potassium-enriched salt-substitute showed clear increases in urinary potassium and decreased sodium excretion â strong population-level evidence for shifting electrolyte balance.
- Urine Potassium Excretion, Kidney Failure, and Mortality in CKD
PubMed ID: 27233381
24-h urine K measurements used as intake surrogate and linked to outcomes â demonstrates relevance of K excretion/intake to health.
- Effect of Improving Dietary Quality on Arterial Stiffness in Subjects with Type 1 and Type 2 Diabetes: A 12 Months Randomised Controlled Trial
PubMed ID: 27338467
Dietary intervention altered urinary potassium and sodium:potassium ratio â supports dietary influence on electrolyte balance (though effects modest/inconsistent).
- Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial
PubMed ID: 27413123
Direct human pharmacokinetic evidence that dietary potassium from potatoes and potassium gluconate is bioavailable with ~94% urinary recovery â strong support for electrolyte contribution.
- Corn silk aqueous extracts and intraocular pressure of systemic and non-systemic hypertensive subjects
PubMed ID: 25727941
Corn silk extract presumed to act via a potassiumâmediated diuretic mechanism (supports shortâterm fluid balance effects).
- Salt sales survey: a simplified, cost-effective method to evaluate population salt reduction programs--a cluster-randomized trial
PubMed ID: 26657005
Salt-substitute sales mirrored increases in population potassium intake (direct population-level effect on electrolyte balance).
- Safety and Efficacy of Low-osmolarity ORS vs. Modified Rehydration Solution for Malnourished Children for Treatment of Children with Severe Acute Malnutrition and Diarrhea: A Randomized Controlled Trial
PubMed ID: 26314308
ORS formulations containing potassium corrected hypokalemia in malnourished children with diarrhea â direct support for electrolyte restoration.
- A phase 2 study on the treatment of hyperkalemia in patients with chronic kidney disease suggests that the selective potassium trap, ZS-9, is safe and efficient
PubMed ID: 25651363
ZS-9 produced dose-dependent, significant reductions in serum potassium and urinary potassium excretion in CKD patients with hyperkalemia (direct electrolyte intervention).
- Isotonic versus Hypotonic Parenteral Maintenance Fluids in Very Severe Pneumonia
PubMed ID: 26027555
Study of maintenance IV fluids (that contained KCl) showed major differences in hyponatremia incidence; relevant to overall electrolyte management.
- Effect of Patiromer on Serum Potassium Level in Patients With Hyperkalemia and Diabetic Kidney Disease: The AMETHYST-DN Randomized Clinical Trial
PubMed ID: 26172895
Patiromer gave durable, dose-dependent reductions in serum potassium over 52 weeks â direct evidence of modifying electrolyte balance.
- Maintenance of serum potassium with sodium zirconium cyclosilicate (ZS-9) in heart failure patients: results from a phase 3 randomized, double-blind, placebo-controlled trial
PubMed ID: 26011677
ZSâ9 rapidly lowered serum potassium and maintained normokalaemia during followâup â strong direct evidence of electrolyte control.
- Effects of sodium and potassium supplementation on blood pressure and arterial stiffness: a fully controlled dietary intervention study
PubMed ID: 25673113
Dietary potassium supplementation altered potassium handling and urinary potassium and produced physiological BP changes, consistent with impacts on electrolyte status.
- Targeted Outreach by an Insurance Company Improved Dietary Habits and Urine Sodium/Potassium Ratios Among High-Risk Individuals with Lifestyle-Related Diseases
PubMed ID: 40647256
Intervention increased dietary potassium intake and reduced urine Na/K ratio â directly demonstrates improved electrolyte balance.
- Outpatient loop diuretic use and the effect of natriuresis-guided diuretic therapy: A prespecified sub-analysis of the PUSH-AHF study
PubMed ID: 41159496
Natriuresisâguided therapy changed natriuresis/diuresis with implications for K+ handling and electrolyte balance.
- Factors Influencing the Efficacy of Low-Dose Spironolactone in Adults with Chronic Kidney Disease and Type 2 Diabetes: A post hoc Analysis
PubMed ID: 41391159
Spironolactone trial reported small K+ changes and monitored safety â relevant to electrolyte maintenance in CKD/diabetes.
- Spot urinary sodium-guided titration of intravenous diuretic therapy in acute heart failure: a pilot randomized controlled trial
PubMed ID: 38632053
UNaâguided diuretic adjustment reduced hypokalemia incidence and influenced electrolyte outcomes in acute HF.
- Controlled potassium reduction using dialysate profiling in hyperkalemic hemodialysis patients: A randomized study
PubMed ID: 41185428
Twoâphase lowâK dialysate profile directly and effectively managed serum potassiumâstrong evidence for electrolyte control.
- Home blood pressure-lowering effect of esaxerenone vs trichlormethiazide for uncontrolled hypertension: a prespecified subanalysis of the EXCITE-HT randomized controlled study by age subgroup
PubMed ID: 40189653
Antihypertensive trial tracked serum potassium as a safety endpointâinformative for electrolyte monitoring with BP drugs.
- Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial
PubMed ID: 40024602
Hemodialysis dietary selfâcare program produced measurable changes in serum potassiumâdirect electrolyte management in patients.
- Changes in natriuretic peptide levels following patiromer-enabled optimization of medical therapy in heart failure: A post hoc analysis of the DIAMOND study
PubMed ID: 40607983
Patiromer allowed safe RAASi upâtitration by controlling serum Kâdirect intervention to maintain electrolyte balance.
- The Effects of a Whole-Food Plant-Based Nutrition Education Program on Blood Pressure and Potassium in Chronic Kidney Disease: A Proof-of-Concept Study
PubMed ID: 40077649
Plantâbased diet increased dietary potassium without raising serum K in CKDâsupports safe electrolyte modulation.
- Interplay of serum potassium and kidney function with finerenone in heart failure with mildly reduced or preserved ejection fraction: Findings from FINEARTS-HF
PubMed ID: 41039732
Large postâhoc HF analysis showed baseline K influenced outcomes and hyperkalaemia ratesâimportant for electrolyte risk management.
- Effects of salt substitution on cumulative blood pressure: a secondary analysis of the SSaSS
PubMed ID: 40148710
Fiveâyear randomized substitution of salt with KCl influenced population sodium/potassium profilesârelevant to electrolyte balance.
- Effect of sodium-reduced potassium-enriched salt substitutes on stomach cancer: the Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 40264179
Potassiumâenriched salt substitute changed population electrolyte exposure and reduced BP/CV outcomesâsupports electrolyte rebalancing strategies.
- Effects of monitoring dietary biomarkers and providing vegetable juice on metabolic syndrome components in adults with an overweight or obese body mass index in Ulaanbaatar: a randomized controlled trial
PubMed ID: 39924530
Vegetableâjuice intervention provided ~700 mg K per serving and improved urinary Na/K ratio â dietary electrolyte evidence.
- Sodium zirconium cyclosilicate versus sodium polystyrene sulfonate for treatment of hyperkalemia in hemodialysis patients: a randomized clinical trial
PubMed ID: 40329202
SZC normalized serum potassium faster than SPS in dialysis patients â strong direct evidence for K balance management.
- Consistency of Blood Pressure Response to Potassium-Enriched Salt in the China Salt Substitute Study
PubMed ID: 41263071
Potassiumâenriched salt increased K intake and changed population urinary K and BP â dietary electrolyte balance evidence.
- Potassium quantification and sensory analysis in plant food cooking processes in heart disease patients
PubMed ID: 40681108
Cooking methods significantly alter potassium content of vegetables/legumes â practical tool to manage dietary K.
- Hypokalaemia in patients with type 2 diabetes and chronic kidney disease: the effect of finerenone-a FIDELITY analysis
PubMed ID: 39380152
Finerenone program showed clinically meaningful effects on serum potassium distributions (reduced hypokalemia) â relevant to K balance.
- Efficacy and safety of patiromer for hyperkalemia: a randomized, placebo-controlled phase 3 study
PubMed ID: 39976633
Patiromer robustly controlled serum potassium and maintained normokalemia vs placebo â direct electrolyte management evidence.
- "Minimal-Advice" on Salt Intake: Results of a Multicentre Pilot Randomised Controlled Trial on Hypertensive Patients
PubMed ID: 39883400
Brief counseling increased 24âh urinary K slightly â supports ability to influence electrolyte balance.
- Effect of low-sodium, potassium-rich salt based on the Chinese modified DASH diet on home blood pressure monitoring in patients with hypertension and type 2 diabetes: a clinical trial
PubMed ID: 40504011
Potassiumâcontaining salts in DASH diet changed urine Na/K ratio and lowered BP â dietary electrolyte impact.
- A Randomized Clinical Trial of ICT-based Interventions for Sodium and Potassium Regulation in Healthy Adults
PubMed ID: 40214261
Behavioral interventions increased urinary potassium excretion (estimated 24âh) â direct evidence of changing K intake/excretion.
- Adverse events associated with early initiation of Eplerenone in patients hospitalized for acute heart failure
PubMed ID: 39181408
Eplerenone trial reported hyperkalemia incidenceâimportant for electrolyte monitoring in cardiac therapy.
- Secondary Analysis of the Salt Substitute and Stroke Study (SSaSS): Effects of Potassium-Enriched Salt on Cardiac Outcomes
PubMed ID: 38465623
Large trial with Kâenriched salt showing increases in K excretion and downstream reductions in CV eventsâstrong electrolyte balance evidence.
- Diuretic use and outcomes in patients with heart failure with reduced ejection fraction: Insights from the VICTORIA trial
PubMed ID: 38450878
Loop diuretic dosing in HF strongly affects fluid balance; these drugs also cause K losses â direct fluid/K interplay.
- Chlorthalidone vs Hydrochlorothiazide for Hypertension Treatment After Myocardial Infarction or Stroke: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 38743423
Thiazideâlike vs thiazide diuretic differences altered hypokalemia rates and fluid management context.
- Maintenance intravenous fluid therapy in infants with sepsis and hyponatremia: a clinical trial
PubMed ID: 39095791
IV fluid sodium strategy influenced hyponatremia prevention; potassium dosing unchanged but fluid/electrolyte context relevant.
- First-in-Human Study to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of BMS-986308: A Renal Outer Medullary Potassium Channel Inhibitor
PubMed ID: 39219444
ROMK inhibitor caused dose-dependent increases in urine volume and natriuresis â strong evidence for effects on fluid balance via K-channel modulation.
- The effect of salt substitution on frequency and severity of headache: results from the SSaSS cluster-randomised controlled trial of 20,995 participants
PubMed ID: 38402353
Kâenriched salt robustly increased urinary K excretion (~+24.9 mmol) demonstrating improved population K intake and electrolyte balance.
- Efficacy and safety of patiromer for non-dialysis and dialysis patients with hyperkalemia: the randomized, placebo-controlled and long-term study
PubMed ID: 39580768
Patiromer produced durable, doseâdependent reductions in serum K and normalized K in hyperkalemic patientsâdirect, highâquality evidence for K management.
- Effect of spironolactone wash-out on albuminuria after long-term treatment in individuals with type 2 diabetes and high risk of kidney disease-An observational follow-up of the PRIORITY study
PubMed ID: 39468380
Stopping spironolactone lowered serum K (safety signal) indicating how medications influence systemic K balance.
- Patiromer-Facilitated Renin-Angiotensin-Aldosterone System Inhibitor Utilization in Patients with Heart Failure with or without Comorbid Chronic Kidney Disease: Subgroup Analysis of DIAMOND Randomized Trial
PubMed ID: 39159624
Patiromer robustly reduced hyperkalemia events and enabled RAASi use â direct, high-quality evidence for improving K-electrolyte balance.
- Oral alkalinizing supplementation suppressed intrarenal reactive oxidative stress in mild-stage chronic kidney disease: a randomized cohort study
PubMed ID: 38872014
Potassium-citrate supplementation altered urinary pH and markers; affects K homeostasis and electrolyte/acid-base status.
- Combining Loop and Thiazide Diuretics Across the Left Ventricular Ejection Fraction Spectrum: The CLOROTIC Trial
PubMed ID: 38934966
Adding thiazide to loop diuretics increased urine output and weight lossâdirectly alters fluid balance; reported K safety (no increase in hypokalemia).
- HARMONIZE Asia: A Phase III Randomized Study to Investigate the Efficacy and Safety of Sodium Zirconium Cyclosilicate in Patients with Hyperkalemia in China
PubMed ID: 39112102
Large RCT showed SZC rapidly lowered and maintained serum K in hyperkalaemiaâstrong direct evidence for K/electrolyte control.
- Patiromer for Heart Failure Medication Optimization in Patients With Current or Past Hyperkalemia: DIAMOND Subanalysis
PubMed ID: 39340493
Patiromer lowered K modestly and helped patients remain on guideline HF drugsâdirectly relevant to maintaining K homeostasis.
- Sodium Zirconium Cyclosilicate for Management of Hyperkalemia During Spironolactone Optimization in Patients With Heart Failure
PubMed ID: 39566872
Sodium zirconium cyclosilicate effectively maintained normokalemia and reduced hyperkalemia risk â strong evidence for electrolyte control.
- Efficacy and Safety of Dapagliflozin in Patients With Acute Heart Failure
PubMed ID: 38569758
Dapagliflozin increased urine output and natriuresis and allowed lower loop diuretic doses â strong effect on fluid balance and related electrolyte handling.
Nutrition source (436)
- Safety and toxicity of amphotericin B in glucose 5% or intralipid 20% in neutropenic patients with pneumonia or fever of unknown origin: randomised study
PubMed ID: 9694753
Amphotericin formulation changed the need for potassium supplementation â clinical evidence about mineral repletion management.
- Phosphate salt bowel preparation regimens alter perioperative acid-base and electrolyte balance
PubMed ID: 16434755
Phosphate bowel prep increased abnormal K values and decreased mean Kâevidence of disturbed mineral balance perioperatively.
- A randomized, multicenter study comparing the safety and efficacy of sodium phosphate tablets with 2L polyethylene glycol solution plus bisacodyl tablets for colon cleansing
PubMed ID: 17573796
NaP colon prep caused sizable electrolyte (including potassium and phosphorus) shiftsâdirectly pertinent to mineral homeostasis.
- Changes in serum potassium mediate thiazide-induced diabetes
PubMed ID: 18981326
Large RCT showing thiazide-induced serum K decreases with clinically important metabolic mediationâstrong evidence on maintaining K mineral balance.
- Association of KCNJ1 variation with change in fasting glucose and new onset diabetes during HCTZ treatment
PubMed ID: 22907731
KCNJ1 genetic effects on serum K support a role in mineral homeostasis.
- A nutrient-wide association study on blood pressure
PubMed ID: 23093587
Strong evidence that the sodiumâtoâpotassium ratio is physiologically importantâdirectly relevant to mineral balance.
- The influence of a physician and patient intervention program on dietary intake
PubMed ID: 23999279
Increased dietary K biomarker indicates improved potassium/mineral intake and balance from diet change.
- Impact of light salt substitution for regular salt on blood pressure of hypertensive patients
PubMed ID: 25409877
Dietary substitution with Kâenriched salt altered urinary electrolytes and BPâdemonstrates influence on mineral balance.
- Changes in selected metabolic parameters in patients over 65 receiving hydrochlorothiazide plus amiloride, atenolol or placebo in the MRC elderly trial
PubMed ID: 27716064
Documented small but significant decreases in serum potassium with diuretic therapy â relevant to mineral balance.
- Associations between Dietary Patterns and Blood Pressure in a Clinical Sample of Overweight Adults
PubMed ID: 27666380
Dietary pattern associated with a healthier urinary Na:K ratioâsupports maintenance of mineral balance through diet.
- The Effects of Two Intervention Strategies to Reduce the Intake of Salt and the Sodium-To-Potassium Ratio on Cardiovascular Risk Factors. A 4-Month Randomised Controlled Study among Healthy Families
PubMed ID: 32438659
Intervention decreased the sodium:potassium ratio and linked ratio reductions to biomarker/BP improvementsâdirectly about mineral balance.
- A Safety and Efficacy Comparison of a New Sulfate-Based Tablet Bowel Preparation Versus a PEG and Ascorbate Comparator in Adult Subjects Undergoing Colonoscopy
PubMed ID: 33165006
Oral sulfate prep contains KCl and produced small electrolyte changesâdirect mineral balance data.
- Low-dose of magnesium sulfate solution was not inferior to standard regime of polyethylene glycol for bowel preparation in elderly patients: a randomized, controlled study
PubMed ID: 35920250
Large trial showed differing serum potassium declines between preparationsârelevant to acute mineral balance and safety.
- Safety and efficacy of alcohol-mediated bilateral adrenal artery embolization in patients with idiopathic hyperaldosteronism: a 6-month follow-up of a randomized controlled trial
PubMed ID: 40468047
Adrenal embolization produced better correction of hyperaldosteronism and potassium abnormalities than medical therapy â highly relevant to maintaining systemic potassium/mineral balance in disease.
- Mannitol vs placebo for brain relaxation in cerebellopontine angle tumor surgeries: A randomized controlled trial
PubMed ID: 40156990
Mannitol caused acute intraoperative potassium rise and increased urine output â demonstrates how therapies can perturb mineral (potassium) balance.
- Nutritional factors for stroke and major cardiovascular diseases: international epidemiological comparison of dietary prevention
PubMed ID: 7919085
Epidemiologic association of Na/K ratio with BP and stroke emphasizes importance of maintaining appropriate potassium relative to sodium for mineral homeostasis.
- Diuretic effect of clonidine during isoflurane, nitrous oxide, and oxygen anesthesia
PubMed ID: 7943831
Documented kaliuresis demonstrates changes in mineral (K) handling relevant to balance.
- [Potassium substitution during coronary surgery: K(+)-Mg+(+)-aspartate-complex (Inzolen) versus potassium chloride]
PubMed ID: 8297448
Showed differences in magnesium preservation between potassium formulations and reported potassium concentrations â directly relevant to mineral management.
- Clinical effect of TESSYS technique under spinal endoscopy combined with drug therapy in patients with lumbar disc herniation and its effect on quality of life and serum inflammatory factors: results of a randomized trial
PubMed ID: 34488362
Included 10% potassium chloride in a multiâdrug regimenâdirect involvement of potassium chloride and therefore mineral/electrolyte balance, though confounded.
- Increasing vegetable and fruit intake: randomized intervention and monitoring in an at-risk population
PubMed ID: 10750670
Fruit/veg intervention raised urinary potassium and carotenoids â supports improved mineral/nutrient balance.
- Effects of cooking using multi-ply cookware on absorption of potassium and vitamins: a randomized double-blind placebo control study
PubMed ID: 22229802
Demonstrated increased urinary K excretion after dietary change â direct evidence of altered mineral (K) balance.
- Potassium excretion in healthy Japanese women was increased by a dietary intervention utilizing home-parcel delivery of Okinawan vegetables
PubMed ID: 16940700
Vegetable intervention raised urinary K by ~20% â direct effect on mineral homeostasis.
- Citraturic, alkalinizing and antioxidative effects of limeade-based regimen in nephrolithiasis patients
PubMed ID: 18560820
Lime drink increased urinary potassium and plasma potassium (in the lime group) showing effects on mineral status.
- Can lemon juice be an alternative to potassium citrate in the treatment of urinary calcium stones in patients with hypocitraturia? A prospective randomized study
PubMed ID: 18946667
Potassium citrate increased urinary potassium and changed calciuriaâdirect electrolyte/mineral effects.
- Safety of the combination of valsartan and benazepril in patients with chronic renal disease. European Group for the Investigation of Valsartan in Chronic Renal Disease
PubMed ID: 10678548
Combination RAAS blockade produced modest serum potassium increases in chronic renal diseaseâimportant evidence about potassium balance in clinical care.
- ACE inhibition or angiotensin receptor blockade: impact on potassium in renal failure. VAL-K Study Group
PubMed ID: 11044229
Directly measured serum potassium changes with ACE inhibitor vs ARB â clear relevance to potassium/mineral balance in patients with reduced GFR.
- Metabolic and antihypertensive effects of combined angiotensin receptor blocker and diuretic therapy in prediabetic hypertensive patients with the cardiometabolic syndrome
PubMed ID: 19120715
HCTZ lowered serum potassium and worsened some metabolic markers; study documents thiazide impact on mineral balance.
- Efficacy and safety of two treatment combinations of hypertension in very elderly patients
PubMed ID: 18457886
ARB+HCTZ decreased potassium by ~0.4 mmol/L and raised uric acid â direct mineral/electrolyte effects in elderly.
- Randomized study of antihypertensive efficacy and safety of combination aliskiren/valsartan vs valsartan monotherapy in hypertensive participants with type 2 diabetes mellitus
PubMed ID: 23339726
Large trial monitored potassium and reported no excess severe hyperkalemiaâdata relevant to mineral balance/safety on RAAS therapy.
- Genetic factors associated with elevation of uric acid after treatment with thiazide-like diuretic in patients with essential hypertension
PubMed ID: 31748705
Indapamide produced a measurable serum potassium decrease â clear evidence of altered mineral (K) balance with diuretics.
- Serum potassium in the PARADIGM-HF trial
PubMed ID: 32809261
Large HF trial documented shifts in potassium distribution and hyperkalaemia/hypokalaemia incidences between therapies.
- Use of oral contraceptives blunts the calciuric effect of caffeine in young adult women
PubMed ID: 12566473
Caffeine increased urinary potassium excretion (mitigated by OCs), showing how behaviors affect mineral balance.
- Dietary modulators of blood pressure in hypertension
PubMed ID: 2364920
Heartâhealthy diet increased serum potassium substantially and changed mineral ratios â strong evidence that dietary potassium alters mineral balance.
- The combination of chlorthalidone with nifedipine does not exert an additive antihypertensive effect in essential hypertensives: a crossover multicenter study
PubMed ID: 1709240
Thiazide treatment tended to lower plasma potassium and altered metabolic markersâdirect mineral balance implication.
- The effects of nonpharmacologic interventions on blood pressure of persons with high normal levels. Results of the Trials of Hypertension Prevention, Phase I
PubMed ID: 1586398
Potassium supplementation RCT directly pertains to altering potassium/mineral intake and balance even though BP effects were absent.
- Randomized double-blind study of potassium citrate in idiopathic hypocitraturic calcium nephrolithiasis
PubMed ID: 8230497
Potassium citrate strongly modified urinary chemistry (citrate, potassium) and markedly reduced stone formation â clear mineralâbalance effect.
- [Biochemical effects of potassium citrate in the treatment of calcium oxalate lithiasis]
PubMed ID: 8002670
Potassium citrate substantially altered urinary citrate/pH and affected calciuriaâdirect mineral effects relevant to stones and bone.
- Ramipril decreases chlorthalidone-induced loss of magnesium and potassium in hypertensive patients
PubMed ID: 8750365
Combination therapy prevented diureticâinduced K and Mg losses and stabilized serum K â direct effect on mineral balance.
- Magnesium repletion and its effect on potassium homeostasis in critically ill adults: results of a double-blind, randomized, controlled trial
PubMed ID: 8565536
Magnesium repletion changed net potassium balance from negative to positive â important evidence on maintaining mineral balance in patients.
- Comparison of nifedipine GITS and hydrochlorothiazide in the management of elderly patients with stage I-III diastolic hypertension
PubMed ID: 8783785
Thiazide diuretic lowered potassium more than comparator â highlights perturbations in mineral balance caused by common meds.
- Potassium-magnesium citrate is an effective prophylaxis against recurrent calcium oxalate nephrolithiasis
PubMed ID: 9366314
Potassiumâmagnesium citrate provides multiple minerals and reduced stone recurrenceâsupports mineral supplementation balance.
- Physiological effects of slow release potassium phosphate for absorptive hypercalciuria: a randomized double-blind trial
PubMed ID: 9720517
Potassium phosphate lowered urinary Ca and altered vitamin Dâdirect effects on mineral balance.
- Validation of diet composition for the Dietary Approaches to Stop Hypertension trial. DASH Collaborative Research Group
PubMed ID: 10450296
DASH menu analyses validated dietary K differences across intervention diets â important for maintaining overall mineral balance through diet.
- Comparative effects of potassium chloride and bicarbonate on thiazide-induced reduction in urinary calcium excretion
PubMed ID: 10916098
Comparing KHCO3 vs KCl, KHCO3 reduced urinary calcium and corrected dietary acidosisâstrong evidence for mineral/electrolyte effects.
- Amlodipine is comparable to angiotensin-converting enzyme inhibitor for long-term renoprotection in hypertensive patients with renal dysfunction: a one-year, prospective, randomized study
PubMed ID: 10981547
ACE inhibitor therapy raised serum K by ~0.8 mEq/L in renal patientsâclinically meaningful change in mineral (K) balance to monitor.
- Influence of the angiotensin II receptor antagonist losartan on diuretic-induced metabolic effects in elderly hypertensive patients: comparison with a calcium channel blocker
PubMed ID: 11680666
Losartan+diuretic avoided diureticâinduced K fall â demonstrates preservation of mineral (K) balance with drug choice.
- [Effect of thiazide therapy in the prophylaxis of calcium lithiasis]
PubMed ID: 11789362
Potassium citrate recommended to correct thiazideâinduced hypocitraturiaâpractical mineralâbalance intervention.
- Potassium citrate prevents increased urine calcium excretion and bone resorption induced by a high sodium chloride diet
PubMed ID: 11994333
Potassium citrate prevented saltâinduced urinary calcium loss and reduced a bone resorption markerâdirect effect on mineral balance.
- [Long term observation in effects of potassium and calcium supplementation on arterial blood pressure and sodium metabolism in adolescents with higher blood pressure]
PubMed ID: 12839657
Tableâsalt fortification with K changed urinary K and lowered BP â demonstrates K addition alters mineral/electrolyte balance (clinical trial in adolescents).
- Long-term persistence of the urine calcium-lowering effect of potassium bicarbonate in postmenopausal women
PubMed ID: 15572425
Potassium bicarbonate produced sustained reduction in urinary calciumâevidence of altered mineral handling.
- The effects of potassium and magnesium supplementations on urinary risk factors of renal stone patients
PubMed ID: 15117041
Potassium salts altered urinary citrate, Ca and pH in stone patientsâdirectly changes mineral excretion and balance.
- Partial neutralization of the acidogenic Western diet with potassium citrate increases bone mass in postmenopausal women with osteopenia
PubMed ID: 17035614
K citrate reduced urinary calcium and improved BMD, indicating effects on wholeâbody mineral balance.
- Hydrochlorothiazide efficacy and polymorphisms in ACE, ADD1 and GNB3 in healthy, male volunteers
PubMed ID: 16450155
Quantified HCTZâinduced potassium lossesâimportant data on mineral imbalance risk with diuretics.
- Effects of manidipine/delapril versus olmesartan/hydrochlorothiazide combination therapy in elderly hypertensive patients with type 2 diabetes mellitus
PubMed ID: 18360017
Olmesartan/HCTZ caused modest serum K decreaseâexample of mineral imbalance from therapy.
- The genetics of loop diuretic effects
PubMed ID: 20877298
Genetic study detailed urinary Na/K/Ca excretion under diureticsârelevant to mineral balance.
- Nutritional factors that influence change in bone density and stress fracture risk among young female cross-country runners
PubMed ID: 20709302
Higher dietary potassium (within dairyârich patterns) associated with greater BMD and fewer stress fractures â indicative of mineral balance effects.
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
K salts altered urinary calcium, albumin and bone markersâevidence of improved mineral handling.
- Influence of dietary modifications on the blood pressure response to antihypertensive medication
PubMed ID: 20807467
Dietary manipulation of potassium and sodium influenced BP and electrolyte profile, affecting mineral homeostasis.
- Alkaline citrate reduces stone recurrence and regrowth after shockwave lithotripsy and percutaneous nephrolithotomy
PubMed ID: 22099273
Kâsodium citrate normalized citrate and reduced stone recurrenceâdirect correction of urinary mineral chemistry.
- Enhanced feeding in very-low-birth-weight infants may cause electrolyte disturbances and septicemia--a randomized, controlled trial
PubMed ID: 23043722
Enhanced feeding led to hypokalemia events in infants â an example of disrupted mineral balance with clinical feeding protocols.
- Effects of the association of potassium citrate and agropyrum repens in renal stone treatment: results of a prospective randomized comparison with potassium citrate
PubMed ID: 22908773
Potassium citrate (part of both arms) was used in a trial that reduced stone burden when combined with an herb â relevant to urinary mineral handling.
- Effect of potassium citrate on bone density, microarchitecture, and fracture risk in healthy older adults without osteoporosis: a randomized controlled trial
PubMed ID: 23162100
Long-term potassium citrate improved bone density and microarchitecture â reflects altered mineral homeostasis.
- Potassium citrate supplementation results in sustained improvement in calcium balance in older men and women
PubMed ID: 22991267
Potassium citrate reduced urinary calcium and improved net calcium balance in a randomized trial â direct mineral-balance evidence.
- Treatment of hyperkalemia in patients with chronic kidney disease: a comparison of calcium polystyrene sulphonate and sodium polystyrene sulphonate
PubMed ID: 25672163
Potassiumâbinding resins change serum potassium and can affect overall mineral/electrolyte status in CKD patients.
- Potassium Bicarbonate Supplementation Lowers Bone Turnover and Calcium Excretion in Older Men and Women: A Randomized Dose-Finding Trial
PubMed ID: 25990255
Potassium bicarbonate lowered urinary calcium and NAE, indicating improved mineral (Ca) conservation and acidâbaseâmineral interactions.
- Increased intake of selected vegetables, herbs and fruit may reduce bone turnover in post-menopausal women
PubMed ID: 25856221
Higher fruit/vegetable intake markedly raised urinary K and reduced urinary calcium, indicating potassium's role in mineral balance.
- Effect of amiloride, or amiloride plus hydrochlorothiazide, versus hydrochlorothiazide on glucose tolerance and blood pressure (PATHWAY-3): a parallel-group, double-blind randomised phase 4 trial
PubMed ID: 26489809
Amiloride increased plasma potassium whereas HCTZ decreased itâstrong evidence for maintained/altered mineral balance by interventions.
- Electrolyte and mineral disturbances in septic acute kidney injury patients undergoing continuous renal replacement therapy
PubMed ID: 27603344
CRRT/AKI study reports frequent mineral/electrolyte abnormalities (including K) relevant to mineral homeostasis in critical illness.
- [Long-term effect of environmental cadmium exposure on human body's mineral metabolic balance]
PubMed ID: 27029362
Cadmium exposure associated with significantly lower urinary K and altered urinary minerals â clear evidence of disturbed mineral balance.
- Mineral Intake and Status of Cow's Milk Allergic Infants Consuming an Amino Acid-based Formula
PubMed ID: 28604516
Infant formula provided adequate potassium/minerals for most infantsâdirect mineral balance data.
- Effects of the Potassium-Binding Polymer Patiromer on Markers of Mineral Metabolism
PubMed ID: 30381412
Patiromer lowered urinary phosphate and reduced PTH/1,25(OH)2Dâdirect mineral metabolism effects.
- Association of Urinary Citrate With Acid-Base Status, Bone Resorption, and Calcium Excretion in Older Men and Women
PubMed ID: 29211866
Potassium bicarbonate affected net acid excretion and related to markers of bone turnover and calcium excretionâlinks to mineral balance.
- Effects of Potassium or Sodium Supplementation on Mineral Homeostasis: A Controlled Dietary Intervention Study
PubMed ID: 32506135
Four-week K supplementation decreased FGF23, increased plasma phosphate and reduced urinary calcium excretionâstrong mineral-balance effects.
- Effectiveness of Medical Nutrition Therapy to Improve Dietary Habits for Promoting Bone Health in People Living with Chronic HIV
PubMed ID: 33027800
Nutrition therapy increased K intake alongside other mineralsârelevant to repleting/maintaining mineral balance.
- Efficacy and safety of an innovative prolonged-release combination drug in patients with distal renal tubular acidosis: an open-label comparative trial versus standard of care treatments
PubMed ID: 32712761
ADV7103 maintained plasma K while improving bicarbonate and urine chemistryâdirect K-based therapy preserving mineral balance.
- Potassium citrate vs. hydrochlorothiazide to reduce urinary calcium excretion in calcium oxalate stone patients with hypercalciuria: a prospective randomized study
PubMed ID: 33904027
Potassium citrate changed urinary Ca and citrate and maintained electrolyte balance in stone patients.
- Dietary Advice in Hemodialysis Patients: Impact of a Telehealth Approach During the COVID-19 Pandemic
PubMed ID: 34147308
Single telehealth nutrition counseling decreased median serum potassium and phosphorus in hemodialysis patients, improving mineral control.
- Balanced forced-diuresis as a renal protective approach in cardiac surgery: Secondary outcomes of electrolyte changes
PubMed ID: 34414606
Forced diuresis required extra K replacement to maintain serum levels â demonstrates the importance of K for mineral balance.
- Development and validation of a novel diagnostic nomogram model to predict primary aldosteronism in patients with hypertension
PubMed ID: 34028647
Included twice in other mappings because it highlights the clinical significance of low serum K as a diagnostic predictor for PA (mineral balance importance).
- A nomogram to predict hyperkalemia in patients with hemodialysis: a retrospective cohort study
PubMed ID: 36319967
Hyperkalemia risk prediction model explicitly addresses disturbances of potassium balance in dialysis patients.
- Efficacy and safety of calcium polystyrene sulfonate in patients with hyperkalemia and stage 3-5 non-dialysis chronic kidney disease: a single-center randomized controlled trial
PubMed ID: 37063062
Calcium polystyrene sulfonate produced clear, dose-dependent reductions in serum potassium in CKD patientsâdirect intervention on mineral (K) balance.
- Effects of dialysate potassium concentration of 3.0 mmol/l with sodium zirconium cyclosilicate on dialysis-free days versus dialysate potassium concentration of 2.0 mmol/l alone on rates of cardiac arrhythmias in hemodialysis patients with hyperkalemia
PubMed ID: 39490411
Dialysate K + SZC strategy kept more serum K measurements in target window and reduced hypokalemia â strong mineral-balance evidence in dialysis.
- Effect of sodium zirconium cyclosilicate on hyperkalemia after parathyroidectomy in secondary hyperparathyroidism patients with maintenance hemodialysis: A randomized trial
PubMed ID: 39969301
Perioperative SZC effectively prevented dangerous rises in serum K in dialysis patients, strong evidence for maintaining mineral balance.
- Mineralocorticoid receptor antagonism of vamorolone: Evidence from LIONHEART and VISION-DMD clinical trials
PubMed ID: 40957504
Vamorolone normalized urinary Na+/K+ ratios after MR agonism, demonstrating modulation of mineral/electrolyte balance.
- Effect of low-potential renal acid load diet intervention on urinary lithogenic parameters in recurrent calcium urolithiasis patients (A Preliminary Randomized Controlled Trialďź
PubMed ID: 41251791
Potassium citrate significantly changed urinary potassium and PRAL in stone patients â direct mineral-balance intervention.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Rice-based ORS increased potassium absorption, directly contributing to repletion/maintenance of mineral balance in dehydration.
- Safety and efficacy of oral DMSA therapy for children with autism spectrum disorders: Part A--medical results
PubMed ID: 19852789
DMSA produced substantial urinary potassium losses (quantified), directly demonstrating disturbance of mineral/electrolyte balance.
- Dietary intervention with a specific micronutrient combination for the treatment of patients with cardiac arrhythmias: the impact on insulin resistance and left ventricular function
PubMed ID: 30509185
Micronutrient tablet (including ~469 mg K) produced measurable increases in serum and urinary potassium â direct effect on mineral balance.
- POTASSIUM CITRATE DECREASES BONE RESORPTION IN POSTMENOPAUSAL WOMEN WITH OSTEOPENIA: A RANDOMIZED, DOUBLE-BLIND CLINICAL TRIAL
PubMed ID: 26401577
Potassium citrate supplementation altered urinary/blood bone turnover markersâshows influence on mineral (K/Ca) handling.
- A Randomized Controlled Pilot Study to Assess Effects of a Daily Pistachio (Pistacia Vera) Afternoon Snack on Next-Meal Energy Intake, Satiety, and Anthropometry in French Women
PubMed ID: 30986958
Dietary intervention increased potassium intake (+20%), supporting mineral balance via food.
- Vitamins and minerals intake adequacy in hematopoietic stem cell transplant: results of a randomized controlled trial
PubMed ID: 33257778
Individualized nutrition counseling measurably improved dietary potassium intake, supporting maintenance of mineral balance through diet.
- Impact of Time-Restricted Eating and High-Intensity Exercise on Nutrient Intake in Women with Overweight/Obesity: Secondary Analysis of a Randomized Controlled Trial
PubMed ID: 39861348
Timeârestricted eating lowered potassium intake and increased risk of micronutrient inadequacyâclear impact on mineral balance from dietary timing.
- Passive infusion: a simple delivery method for retrograde cardioplegia
PubMed ID: 15745291
Changing delivery lowered total K administered â indicates procedural control over mineral dosing.
- Apararenone in patients with diabetic nephropathy: results of a randomized, double-blind, placebo-controlled phase 2 dose-response study and open-label extension study
PubMed ID: 32974732
MR antagonist therapy produced small doseârelated rises in serum potassium (safety and mineralâbalance implication) alongside renal benefits.
- Changes in blood pressure, serum potassium and electrolytes with a combination of triamterene and a low dose of chlorthalidone
PubMed ID: 1778085
Triamterene added to chlorthalidone reduced thiazide-induced K loss while maintaining BPâpractical approach to maintaining mineral balance.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Direct oral potassium replacement trial showing restoration of serum K with different salt forms; strong evidence for mineral repletion.
- Effects of hydrochlorothiazide, diltiazem and enalapril on mononuclear cell sodium and magnesium levels in systemic hypertension
PubMed ID: 1951126
Thiazide-induced reductions in serum and intracellular cations demonstrate clinically important mineral imbalances.
- Long-term diuretic therapy: effects of dose reduction on antihypertensive efficacy and counterregulatory systems
PubMed ID: 1378114
Reducing diuretic dose substantially lowered hypokalemia incidence, preserving mineral balance.
- Combined therapy of captopril and spironolactone for refractory congestive heart failure
PubMed ID: 7805462
Spironolactone with ACE inhibitor specifically improved sodium/potassium handling and urinary Na+/K+ ratioâstrong evidence about maintaining potassium/mineral balance in clinical care.
- Dose-response study of intravenous torsemide in congestive heart failure
PubMed ID: 8037103
IV loop diuretic produced marked increases in urinary potassium excretionâclear demonstration of potassium flux and clinical importance of correcting losses to maintain mineral balance.
- Unchanged central hemodynamics after six months of moderate sodium restriction with or without potassium supplement in essential hypertension
PubMed ID: 7735495
Kârich salt substitute increased urinary potassium excretion vs regular saltâevidence of altered mineral (potassium) balance.
- Electrolyte modelling in haemodialysis--potassium
PubMed ID: 8803994
Dialysate potassium manipulation changed arrhythmia outcomes via K+ gradients, reflecting clinically important control of mineral distribution during dialysis.
- The Eurevie Study: contrasting effect of piretanide and thiazides in mild to moderate hypertension
PubMed ID: 9366100
Large trial documented changes in serum potassium with different antihypertensive/diuretic regimensâstrong evidence about K homeostasis in clinical therapy.
- Effects of potassium supplementation on office, home, and 24-h blood pressure in patients with essential hypertension
PubMed ID: 9799029
Supplemental K markedly increased serum and urinary potassiumâdirect evidence of changing/maintaining systemic K pool.
- Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage
PubMed ID: 10584839
Fludrocortisone produced pronounced sodium/water retention with transient hypokalemia in the majority of treated patients â strong, direct effect on mineral balance.
- Renal effects of selective cyclooxygenase-2 inhibition in normotensive salt-depleted subjects
PubMed ID: 10430112
COX inhibition in saltâdepleted subjects caused sodium and potassium retention â directly documents changes in wholeâbody mineral handling.
- Telmisartan plus hydrochlorothiazide versus telmisartan or hydrochlorothiazide monotherapy in patients with mild to moderate hypertension: a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial
PubMed ID: 11440284
Combination therapy prevented K loss seen with diureticsâstrong mineral preservation evidence.
- Electrolyte intake and nonpharmacologic blood pressure control
PubMed ID: 12495832
Higher K intake associated with improved BP control and balanced sodium/potassium status in older adults.
- Study on efficacy of WHO-ORS in malnourished children with acute dehydrating diarrhoea
PubMed ID: 14579980
High hypokalemia prevalence in malnourished dehydrated children highlights clinical issues in maintaining K+ balance.
- The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers
PubMed ID: 12844375
Oral KCl supplementation measurably changed systemic K+-linked outcomes (BP), supporting effects on mineral balance.
- Intravenous phosphate in the intensive care unit: more aggressive repletion regimens for moderate and severe hypophosphatemia
PubMed ID: 12845429
IV potassium phosphate corrected phosphate and affected serum potassium â directly about mineral repletion and balance.
- Distinguishing the antihypertensive and electrolyte effects of eplerenone
PubMed ID: 15181050
Eplerenone produced a consistent small rise in plasma K+âimportant for mineral (K+) balance considerations in therapy.
- The efficiency of potassium removal during bicarbonate hemodialysis
PubMed ID: 16191080
Showed similar total K+ removal but different kinetics with bicarbonate vs acetate dialysis â important for mineral homeostasis in dialysis.
- Comparison between normal saline and a polyelectrolyte solution for fluid resuscitation in severely dehydrated infants with acute diarrhoea
PubMed ID: 16297299
Clear, clinically important changes in plasma K+ depending on fluid choice in severely dehydrated infantsâstrong evidence about K+ balance.
- Transfusions of CPDA-1 red blood cells stored for up to 28 days decrease donor exposures in very low-birth-weight premature infants
PubMed ID: 16359417
Older stored RBCs contain higher K+, affecting mineral load during transfusion.
- Addition of angiotensin receptor blockade or mineralocorticoid antagonism to maximal angiotensin-converting enzyme inhibition in diabetic nephropathy
PubMed ID: 19926893
Study documents clinically important serum potassium increases with RAASâtargeted therapy, directly demonstrating effects on mineral (K) balance.
- Improving outcome of treatment of kala-azar by supplementation of amphotericin B with physiologic saline and potassium chloride
PubMed ID: 21036834
Provision of KCl with infusions altered serum electrolytes and reduced kidney injuryâsupports K's role in mineral/electrolyte homeostasis.
- Spironolactone in preventing hypokalemia following traumatic brain injury
PubMed ID: 21126390
Spironolactone reduced hypokalemia incidence â relevant to maintaining mineral (K+) balance after injury.
- Correction of metabolic acidosis with potassium citrate in renal transplant patients and its effect on bone quality
PubMed ID: 22773591
Potassium citrate normalized bicarbonate and preserved bone microarchitecture vs KClâdemonstrates K's role in mineral/acid-base balance affecting bone.
- Acute hyperkalemia associated with inhalation of a potent ENaC antagonist: Phase 1 trial of GS-9411
PubMed ID: 23905576
ENaC blocker caused transient hyperkalemia and urine Na/K changes â strong evidence of altered mineral homeostasis.
- Potassium kinetics during hemodialysis
PubMed ID: 25091596
Detailed hemodialysis potassium kinetics are central to maintaining wholeâbody K+ (mineral) balance in dialysis patients.
- Half-molar sodium lactate infusion improves cardiac performance in acute heart failure: a pilot randomised controlled clinical trial
PubMed ID: 24666826
Sodiumâlactate infusion produced a clinically meaningful drop in serum potassium and rise in sodium â clear mineral balance perturbation.
- Effect of sodium zirconium cyclosilicate on potassium lowering for 28 days among outpatients with hyperkalemia: the HARMONIZE randomized clinical trial
PubMed ID: 25402495
Oral binder reliably lowers and maintains serum potassium, directly restoring mineral balance in hyperkalemia.
- Randomized Clinical Trial of Sodium Polystyrene Sulfonate for the Treatment of Mild Hyperkalemia in CKD
PubMed ID: 26576619
Intervention that markedly changed serum potassium in CKD demonstrates how therapeutic measures can restore mineral (K) balance.
- Lipid-based nutrient supplements containing vitamins and minerals attenuate renal electrolyte loss in HIV/AIDS patients starting antiretroviral therapy: A randomized controlled trial in Zambia
PubMed ID: 28531643
Micronutrient supplementation reduced renal K+ wasting in malnourished patients, promoting mineral conservation.
- Impact of a Potassium-enriched, Chloride-depleted 5% Glucose Solution on Gastrointestinal Function after Major Abdominopelvic Surgery: Results of a Randomized Controlled Trial
PubMed ID: 27416541
Perioperative potassiumâcontaining fluid reduced the need for potassium substitution, supporting perioperative mineral balance.
- Increasing alkali supplementation decreases urinary nitrogen excretion when adjusted for same day nitrogen intake
PubMed ID: 28842733
Potassium bicarbonate decreased net acid excretion and affected nitrogen/bone markers consistent with improved mineral homeostasis.
- Comparison of the effects of tolvaptan and furosemide on renal water and sodium excretion in patients with heart failure and advanced chronic kidney disease: a subanalysis of the K-STAR study
PubMed ID: 29934667
Clear changes in urinary Na+ and K+ excretion and electrolyte-free water clearance â strong evidence about mineral/electrolyte handling.
- The effect of a self-management program on renal function control in patients with hemodialysis in Taiwan: A longitudinal randomized controlled trial
PubMed ID: 32390339
Behavioral program in HD patients lowered serum potassium and phosphorusâdirect impact on mineral management in dialysis.
- Effects of Fluid Rehydration Strategy on Correction of Acidosis and Electrolyte Abnormalities in Children With Diabetic Ketoacidosis
PubMed ID: 34187840
DKA fluid strategies changed potassium trajectories and chloride, directly affecting mineral/electrolyte balance during resuscitation.
- Risk of Electrolyte Disorders in Acutely Ill Children Receiving Commercially Available Plasmalike Isotonic Fluids: A Randomized Clinical Trial
PubMed ID: 33104176
Trial showed IV fluid composition containing K materially changed risk of clinically significant electrolyte/mineral disorders (notably hypokalemia).
- Short-Term RCT of Increased Dietary Potassium from Potato or Potassium Gluconate: Effect on Blood Pressure, Microcirculation, and Potassium and Sodium Retention in Pre-Hypertensive-to-Hypertensive Adults
PubMed ID: 34064968
Feeding trial increased K retention and modified Na retention, demonstrating meaningful impacts on mineral balance.
- Efficacy of Potassium Supplementation in Hypokalemic Patients Receiving Peritoneal Dialysis: A Randomized Controlled Trial
PubMed ID: 35597332
Protocolized oral potassium chloride directly maintained serum potassium and corrected hypokalemia in PD patients â strong evidence for mineral (K) balance maintenance.
- Effects of Preoperative Oral Carbohydrate Electrolyte Drinks on Preoperative Hypokalemia Incidence in Patients Scheduled for Laparoscopic Colorectal Resection: A Three-Arm Randomized Clinical Trial
PubMed ID: 36732123
Preop potassium-containing drinks markedly reduced preoperative hypokalemia incidence and severityâdirectly maintaining potassium mineral balance.
- CYP11B2 inhibitor dexfadrostat phosphate suppresses the aldosterone-to-renin ratio, an indicator of sodium retention, in healthy volunteers
PubMed ID: 36914591
CYP11B2 inhibitor markedly increased plasma K and changed urinary Na/K â clear effect on mineral/potassium homeostasis.
- A descriptive analysis of drug-drug interactions and corresponding adverse drug reactions in multimorbid older inpatients: findings from the SENATOR trial
PubMed ID: 39095682
High prevalence of drug interactions affecting potassium highlights clinical risk to mineral balance in older inpatients.
- Optimizing Recovery in Elderly Patients: Anabolic Benefits of Glucose Supplementation during the Rehydration Period
PubMed ID: 38892539
Refeeding syndrome produced drops in potassium (and phosphate/magnesium), directly demonstrating disruptions in mineral balance.
- The randomized DIALIZE-Outcomes trial evaluated sodium zirconium cyclosilicate in hemodialysis
PubMed ID: 40618849
SZC preserved normal serum K+ in hemodialysis patients, directly maintaining mineral (potassium) balance.
- Hyponatremia after pediatric surgery: Randomized trial of fluid composition on antidiuretic hormone response
PubMed ID: 40399660
Urinary Na:K patterns and hyponatremia risk directly demonstrate mineral/electrolyte balance effects.
- Dietary intervention with Okinawan vegetables increased circulating endothelial progenitor cells in healthy young women
PubMed ID: 19013573
Dietary vegetable intake significantly increased urinary potassium excretion â evidence of mineral intake/handling change.
- Challenges in sodium intake reduction and meal consumption patterns among participants with metabolic syndrome in a dietary trial
PubMed ID: 24345027
Dietary intervention improved sodium/potassium ratio and thus affected mineral balance at the population level.
- Effects of intermittent versus continuous energy restriction for weight loss on diet quality and eating behavior. A randomized trial
PubMed ID: 30514879
Continuous energy restriction preserved potassium intake better than intermittent restriction â supports mineral maintenance during dieting.
- Changes in dietary intake, food tolerance, hedonic hunger, binge eating problems, and gastrointestinal symptoms after sleeve gastrectomy compared with after gastric bypass; 1-year results from the Oseberg study-a randomized controlled trial
PubMed ID: 36811476
Bariatric procedures caused marked decreases in potassium intake over 1 year, demonstrating risk to mineral balance post-surgery.
- Dietary Habits of Individuals With Primary Sclerosing Cholangitis-Poor Fat-Soluble Vitamin Intake and Dietary Quality
PubMed ID: 39601354
High proportion of PSC patients reported potassium intakes below requirements indicating mineral imbalance risk in this group.
- A randomised controlled trial of bumetanide in the treatment of autism in children
PubMed ID: 23233021
Bumetanide produced hypokalemia in many children requiring supplementation â direct mineral balance implication.
- A Pilot Randomized, Controlled, Double-Blind Trial of Bumetanide to Treat Neonatal Seizures
PubMed ID: 33201535
Bumetanide-induced diuresis and electrolyte monitoring demonstrate effects on mineral (K) balance.
- Evaluation of citrate-based nutraceutical combinations and their impact on chemolysis in the management of urinary diversion device: a randomised double-blind placebo-controlled study on improved quality of life and clinical outcomes
PubMed ID: 40715538
Potassiumâmagnesium citrate product altered stent encrustation and urinary chemistry â mineral handling relevance.
- Effects of DPP-4 Inhibitor Linagliptin Versus Sulfonylurea Glimepiride as Add-on to Metformin on Renal Physiology in Overweight Patients With Type 2 Diabetes (RENALIS): A Randomized, Double-Blind Trial
PubMed ID: 32900785
Measured changes in fractional potassium excretion reflect mineral handling by the kidney.
- Predicting erythropoietin resistance in hemodialysis patients with type 2 diabetes
PubMed ID: 23521816
Association of serum potassium with ESA resistance and adverse outcomes in dialysis highlights clinical consequences of disturbed mineral balance.
- Treating mild-to-moderate hypertension: a comparison of lisinopril-hydrochlorothiazide fixed combination with captopril and hydrochlorothiazide free combination
PubMed ID: 1665179
Clear differences in serum potassium between antihypertensive regimens (statistically significant) â substantive clinical evidence about potassium balance.
- [An open comparative study of captopril + hydrochlorothiazide versus chlorthalidone for the treatment of mild and moderate primary hypertension]
PubMed ID: 1340743
Chlorthalidone caused a measurable potassium drop while captopril+HCTZ did not â robust clinical evidence on how treatments alter potassium levels.
- Effect of long-term therapy with captopril on proteinuria and renal function in patients with non-insulin-dependent diabetes and with non-diabetic renal diseases
PubMed ID: 7891796
Reported significant serum potassium increase with ACE inhibitor in diabetic renal disease â direct evidence on mineral (K) handling.
- An equivalence study of the safety and efficacy of a fixed-dose combination of perindopril with indapamide versus fixed-dose combinations of captopril with hydrochlorothiazide and enalapril with hydrochlorothiazide in the treatment of hypertension
PubMed ID: 8903665
Large trial comparing antihypertensive combos assessed serum potassium equivalence â relevant to maintaining K levels during therapy.
- [Comparative effects of captopril and chlorthalidone on glucose tolerance and insulin levels essential hypertensives]
PubMed ID: 9035467
Thiazide-induced hypokalemia and associated metabolic consequences underscore K's role in mineral/electrolyte balance.
- Potassium supplements prevent serious hypokalaemia in colon cleansing
PubMed ID: 7828395
Direct evidence that oral K supplementation prevents hypokalaemia in a clinical settingâclear maintenance of mineral balance.
- The effect of varying molar ratios of potassium-magnesium citrate on thiazide-induced hypokalemia and magnesium loss
PubMed ID: 9824785
KâMgâcitrate corrected hypokalemia and affected magnesium and urinary citrate/pHâstrong mineral-balance restoration evidence.
- Effect of potassium magnesium citrate on thiazide-induced hypokalemia and magnesium loss
PubMed ID: 10401023
Direct RCT: KâMgâcitrate restored K and raised Mg and urine citrate/pHâstrong mineral-balance support.
- Effect of varying doses of potassium-magnesium citrate on thiazide-induced hypokalemia and magnesium loss
PubMed ID: 10423646
Dose-ranging KâMgâcitrate study with clear dose-dependent normalization of K and changes in Mg/urineârobust evidence.
- Potassium-magnesium citrate versus potassium chloride in thiazide-induced hypokalemia
PubMed ID: 10652038
Strong RCT evidence that KâMgâcitrate corrects K, raises Mg, and alters urine chemistryâdirect mineral-balance benefit.
- The impact of vitamins and/or mineral supplementation on blood pressure in type 2 diabetes
PubMed ID: 15190052
Combined vitamin/mineral supplementation increased serum K and lowered BP in typeâ2 diabetics â shows effect on mineral status.
- Intravenous administration of magnesium and potassium solution lowers energy levels and increases success rates electrically cardioverting atrial fibrillation
PubMed ID: 21815963
IV K+Mg corrected electrolytes pre-cardioversion improving clinical outcome (direct impact on electrolyte balance).
- Indomethacin, amiloride, or eplerenone for treating hypokalemia in Gitelman syndrome
PubMed ID: 25012174
In Gitelman syndrome, interventions raised plasma K and affected renin/aldosteroneâdetailed mineral-balance manipulation.
- Effects of Potassium Magnesium Citrate Supplementation on 24-Hour Ambulatory Blood Pressure and Oxidative Stress Marker in Prehypertensive and Hypertensive Subjects
PubMed ID: 27448942
KCl and KMgCit phases raised serum K; KMgCit raised serum Mg â demonstrates supplement formulation matters for mineral status.
- Potassium Magnesium Citrate Is Superior to Potassium Chloride in Reversing Metabolic Side Effects of Chlorthalidone
PubMed ID: 37846572
KMgCit vs KCl produced larger rises in serum K and increased serum Mg and urinary citrate â direct evidence for influencing mineral balance.
- Comparative Efficacy of Magnesium and Potassium Towards Cholesterol and Quality of Life in Patients With Type 2 Diabetes Mellitus: A Randomised Single-Blinded Controlled Clinical Trial
PubMed ID: 39410716
Potassium supplementation increased serum K in diabetics and improved QoL; direct evidence of altering K status.
- Development of a tool for predicting HNF1B mutations in children and young adults with congenital anomalies of the kidneys and urinary tract
PubMed ID: 38196016
HNF1B mutation carriers had lower serum K and greater magnesium wasting â documents altered mineral homeostasis in disease context.
- Hypokalemia During Decongestion With Loop Diuretics and Hydrochlorothiazide, a Post Hoc Analysis of the CLOROTIC Trial
PubMed ID: 40590131
Quantifies hypokalemia risk and recommends K supplementation consideration â directly about maintaining K (a mineral) balance during diuresis.
- The influence of oral potassium chloride on blood pressure in hypertensive men on a low-sodium diet
PubMed ID: 2406601
Oral potassium chloride directly raised serum and urinary potassium concentrations â clear evidence of affecting potassium balance.
- Diuretic therapy and ventricular arrhythmias in persons 65 years of age and older
PubMed ID: 1689934
Hydrochlorothiazide caused measurable hypokalemia; addition of K-sparing drug preserved normal K â direct clinical evidence on K maintenance.
- The Hypertension Prevention Trial: three-year effects of dietary changes on blood pressure. Hypertension Prevention Trial Research Group
PubMed ID: 2404477
Dietary counseling produced a transient urinary K increase, demonstrating potential to modify mineral (K) balance via diet.
- Estimation of protein intake: comparison of dietary assessment and urinary excretion
PubMed ID: 1706024
Urinary K correlates with intake â useful for assessing mineral balance in dietary studies.
- Treatment of hypertension in the elderly: I. Blood pressure and clinical changes. Results of a Department of Veterans Affairs Cooperative Study
PubMed ID: 2318517
High rates of diuretic-induced hypokalemia demonstrate perturbation of mineral balance and the need for potassium maintenance.
- Hypertension and arrhythmias: effects of slow-release nicardipine vs chlorthalidone: a double-blind crossover study
PubMed ID: 2258249
Chlorthalidone caused hypokalemia in some patients â demonstrates disturbance in mineral (K) balance.
- Amikacin plus piperacillin versus ceftazidime as initial therapy in granulocytopenic patients with presumed bacteremia
PubMed ID: 2284577
Combination therapy significantly reduced serum K and required supplementation â direct evidence about mineral balance maintenance.
- An open, parallel group study comparing a frusemide/amiloride diuretic and a diuretic containing cyclopenthiazide with sustained release potassium in the treatment of congestive cardiac failure--a multicentre general practice study
PubMed ID: 2193840
Sustainedârelease potassium in one regimen kept plasma potassium stable despite diureticsâstrong support for mineral maintenance.
- [The optimal dose of bendroflumethiazide in hypertension. A randomized double-blind dose-response study]
PubMed ID: 2238184
Dose-related potassium changes with thiazide therapy indicate clinically significant effects on mineral balance.
- Effects of acetylsalicylic acid on renal function in patients with chronic heart failure
PubMed ID: 2029014
Dietary sodium manipulation altered renal K excretion â evidence for diet-driven changes in potassium balance.
- Treatment of hypertension in the elderly. III. Response of isolated systolic hypertension to various doses of hydrochlorothiazide: results of a Department of Veterans Affairs cooperative study. Department of Veterans Affairs Cooperative Study Group on Antihypertensive Agents
PubMed ID: 1929683
Hydrochlorothiazide produced significant K depletion at higher doseârelevant to maintaining mineral balance.
- Low-dose cyclopenthiazide in the treatment of hypertension: a one-year community-based study
PubMed ID: 2031076
Thiazide caused dose-dependent serum K reductions, an important effect on mineral balance in antihypertensive therapy.
- The effect on body composition and exercise performance of home parenteral nutrition when given as adjunct to chemotherapy of testicular carcinoma
PubMed ID: 1936109
TPN study tracked total body potassium as a marker of mineral status during nutritional support.
- Antihypertensive and metabolic effects of concomitant administration of terazosin and methyclothiazide for the treatment of essential hypertension
PubMed ID: 1349028
Combination antihypertensive therapy tended to mitigate thiazide-related potassium disturbancesârelevant to preserving mineral balance during BP treatment.
- Indomethacin treatment in children with daytime frequency of micturition
PubMed ID: 1306665
Indomethacin altered urinary potassium excretionâshows perturbation in mineral handling.
- Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group
PubMed ID: 8385183
Large RCT documenting thiazide dose-related potassium drop and modification by ACE inhibitor â strong evidence about K balance.
- Six-week study of torsemide in patients with congestive heart failure
PubMed ID: 8111802
Loop diuretic produced small but measurable decreases in serum K in CHF â mineral balance impact.
- Exogenous growth hormone: effects on the catabolic response to surgically produced acute stress and on postoperative immune function
PubMed ID: 8362531
Positive potassium balance was a direct (secondary) findingâevidence for maintaining whole-body K+ stores.
- Enalapril versus bendroflumethiazide in type 2 diabetes complicated by hypertension
PubMed ID: 7859051
Thiazide therapy in diabetics lowered serum K â direct effect on potassium mineral balance.
- Antihypertensive effectiveness of low-dose lisinopril-hydrochlorothiazide combination. A large multicenter study. Lisinopril-Hydrochlorothiazide Group
PubMed ID: 8147677
Well-powered study showing hydrochlorothiazide lowers serum K â clear effect on mineral (K) balance.
- Efficacy and safety of rilmenidine in elderly patients--comparison with hydrochlorothiazide. The Belgian Multicentre Study Group
PubMed ID: 7998586
HCTZ caused significant serum K drop in elderly hypertensives, illustrating clinical importance of maintaining mineral balance.
- The effect of chlorthalidone on ventricular ectopic activity in patients with isolated systolic hypertension. The SHEP Study Group
PubMed ID: 7520210
Chlorthalidone lowered serum K from 4.4 to 4.1 mEq/Lâshows common clinical shifts in mineral balance with diuretics.
- Quinapril and hydrochlorothiazide combination for control of hypertension: assessment by factorial design. Quinapril Investigator Group
PubMed ID: 8006914
Quinapril attenuated thiazide-induced hypokalemia in combination therapyâdemonstrates maintenance of serum K by pharmacologic means.
- Cilazapril plus hydrochlorothiazide: improved efficacy without reduced safety in mild to moderate hypertension. A double-blind placebo-controlled multicenter study of factorial design
PubMed ID: 7850821
Combination antihypertensive trial reported fewer low-K reports vs diuretic alone â informative about preservation of mineral balance with certain regimens.
- The effect of potassium supplementation in persons with a high-normal blood pressure. Results from phase I of the Trials of Hypertension Prevention (TOHP). Trials of Hypertension Prevention (TOHP) Collaborative Research Group
PubMed ID: 7795836
Direct KCl supplementation increased urinary K excretion and demonstrated dose-response with urinary K change â strong evidence for affecting mineral balance.
- Comparison of measurements of body composition by total body potassium, bioimpedance analysis, and dual-energy X-ray absorptiometry in hypopituitary adults before and during growth hormone treatment
PubMed ID: 7762516
Method-comparison emphasizes TBK as a distinct measure of body potassium and its implications for FFM estimates.
- [Therapeutic benefit of a low dose of indapamide: results of a double-blind against placebo European controlled study]
PubMed ID: 8572850
Indapamide RCT reported rates of low serum potassium across formulations/doses â provides concrete data on mineral (K) disturbances.
- Effects of benazepril and hydrochlorothiazide, given alone and in low- and high-dose combinations, on blood pressure in patients with hypertension
PubMed ID: 8542050
ACE inhibitor reduced HCTZ-related potassium depletionârelevant to maintaining overall mineral balance.
- Effectiveness of spironolactone added to an angiotensin-converting enzyme inhibitor and a loop diuretic for severe chronic congestive heart failure (the Randomized Aldactone Evaluation Study [RALES])
PubMed ID: 8888663
Dose-related hyperkalemia with spironolactone shows clear disruption of mineral (K+) balance.
- The PACK trial: morbidity and mortality effects of ketanserin. Prevention of Atherosclerotic Complications
PubMed ID: 9546928
Interaction with potassium-losing diuretics leading to altered outcomes highlights clinical importance of maintaining mineral (K+) balance.
- Effect of hydrochlorothiazide therapy on cardiac arrhythmias in African-American men with systemic hypertension and moderate to severe left ventricular hypertrophy
PubMed ID: 8888660
Clear, clinically relevant decrease in serum K after thiazide therapy (â0.5 mmol/L) â major implication for mineral balance and need for replacement.
- Comparison of regimens of amphotericin B deoxycholate in kala-azar
PubMed ID: 8707361
Amphotericin B commonly causes falls in serum K (reported as toxicity) â demonstrates impact on mineral homeostasis.
- Potassium supplementation in kwashiorkor
PubMed ID: 9106107
Higher K intake in kwashiorkor restored electrolyte/mineral status and reduced morbidity/mortality â direct clinical evidence.
- Oral rehydration with a plantain flour-based solution in children dehydrated by acute diarrhea: a clinical trial
PubMed ID: 9350881
Plantain ORS caused decreases in sodium and potassium in some childrenâdirect evidence of mineral (electrolyte) shifts during rehydration.
- Influence of long-term, low-dose, diuretic-based, antihypertensive therapy on glucose, lipid, uric acid, and potassium levels in older men and women with isolated systolic hypertension: The Systolic Hypertension in the Elderly Program. SHEP Cooperative Research Group
PubMed ID: 9554680
Documented mean serum potassium decrease with chlorthalidone over 3 years â strong evidence about mineral (K) changes with therapy.
- Clustering of endothelial markers of vascular damage in human salt-sensitive hypertension: influence of dietary sodium load and depletion
PubMed ID: 9822445
Salt-sensitive responses and Na/K context imply effects on mineral homeostasis (including potassium) with dietary sodium changes.
- Effect of change in sodium excretion on change in blood pressure corrected for measurement error. The Trials of Hypertension Prevention, Phase I
PubMed ID: 9737555
Na/K ratio change associated with BP lowering â directly relevant to maintaining potassium (mineral) balance relative to sodium.
- Metabolic modulation of acute myocardial infarction. The ECLA (Estudios CardiolĂłgicos LatinoamĂŠrica) Collaborative Group
PubMed ID: 9867443
GIK explicitly includes potassium as a mineral component of an interventional regimen used in acute myocardial infarction.
- Low-dose antihypertensive therapy with 1.5 mg sustained-release indapamide: results of randomised double-blind controlled studies. European study group
PubMed ID: 9856369
Indapamide SR markedly reduced incidence of low serum potassium compared with IR formulation â direct evidence on preserving mineral (K) balance.
- Diuretic-based treatment and cardiovascular events in patients with mild renal dysfunction enrolled in the systolic hypertension in the elderly program
PubMed ID: 9645829
Diuretic therapy trial documents risk of hypokalemia and how it varies with renal functionâkey for mineral balance management.
- Urinary sodium and potassium profile of blacks and whites in relation to education in two different geographic urban areas. TOMHS Research Group. Treatment of Mild Hypertension Study
PubMed ID: 10075387
Population urinary K/Na:K data directly reflect dietary K status and mineral balance differences across groups.
- Strength and its relationship to changes in fat-free mass, total body potassium, total body water and IGF-1 in adults with growth hormone deficiency: effect of treatment with growth hormone
PubMed ID: 9974084
Totalâbody potassium measures provide concrete data about wholeâbody mineral (K) stores and their relation to body composition.
- Trimethoprim-sulfamethoxazole therapy in outpatients: is hyperkalemia a significant problem?
PubMed ID: 10393376
Documented drug-induced increases in serum potassium â important to mineral-balance maintenance.
- Amphotericin B in children with malignant disease: a comparison of the toxicities and pharmacokinetics of amphotericin B administered in dextrose versus lipid emulsion
PubMed ID: 10348763
Increased K requirements during amphotericin therapy indicate disturbed mineral (K) balance.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Diureticâinduced hypokalemia associated with worse outcomes underscores the clinical importance of maintaining mineral (potassium) balance.
- Double blind, randomised controlled clinical trial of hypo-osmolar oral rehydration salt solution in dehydrating acute diarrhoea in severely malnourished (marasmic) children
PubMed ID: 11207173
ORS containing potassium restored electrolytes without causing abnormalitiesâsupports mineral (K+) restoration and maintenance.
- Is peritoneal dialysis adequate for hypercatabolic acute renal failure in developing countries?
PubMed ID: 11849419
Direct evidence of potassium removal differences in dialysisâclearly impacts systemic mineral balance.
- Eplerenone, a selective aldosterone blocker, in patients with left ventricular dysfunction after myocardial infarction
PubMed ID: 12668699
Eplerenone increased rates of serious hyperkalemiaâimportant clinical signal about disturbed mineral (K) balance with therapy.
- Decreasing dietary sodium while following a self-selected potassium-rich diet reduces blood pressure
PubMed ID: 14652358
Dietary intervention increased urinary K and decreased urinary Naâclear effect on mineral/electrolyte balance from increased K intake.
- Subclinical mastitis among HIV-infected and uninfected Zimbabwean women participating in a multimicronutrient supplementation trial
PubMed ID: 14584380
Milk Na/K ratio data reflect mineral (sodium/potassium) balance in lactation with implications for infant mineral status.
- Blood pressure response to conventional and low-dose enalapril in chronic renal failure
PubMed ID: 12580985
Raised serum potassium with higher enalapril exposure in renal failure highlights drug-induced shifts in mineral balance requiring monitoring.
- Potassium supplementation, diet vs pills: a randomized trial in postoperative cardiac surgery patients
PubMed ID: 14769716
Dietary potassium maintained serum potassium as effectively as supplements in patients on potassium-wasting diuretics â direct evidence for maintaining mineral (potassium) balance.
- Antihypertensive and antiproteinuric efficacy of ramipril in children with chronic renal failure
PubMed ID: 15253732
Ramipril produced a small average serum potassium rise (+0.3 mmol/L) while improving proteinuria/BPâdirectly measured K change relevant to mineral balance.
- Mortality and morbidity reduction with Candesartan in patients with chronic heart failure and left ventricular systolic dysfunction: results of the CHARM low-left ventricular ejection fraction trials
PubMed ID: 15492298
RAAS blockade trial highlighted hyperkalemia as a safety issueâimportant clinical signal about K balance.
- [Effects of different respiratory rates on PaCO2 and plasma potassium concentration]
PubMed ID: 15181844
Ventilation-induced CO2 changes caused acute plasma K shiftsâillustrates how physiological changes affect mineral balance.
- Effects of drospirenone/17-beta estradiol on blood pressure and potassium balance in hypertensive postmenopausal women
PubMed ID: 15925739
Study explicitly measured serum potassium and showed no increased hyperkalemia risk with treatment while lowering BP, informing mineral-balance safety.
- Antihypertensive effects of drospirenone with 17beta-estradiol, a novel hormone treatment in postmenopausal women with stage 1 hypertension
PubMed ID: 16186434
DRSP/E2 increased incidence of elevated potassium while lowering BPâevidence of drug effect on mineral balance.
- Does growth hormone allow more efficient nitrogen sparing in postoperative patients requiring parenteral nutrition? A double-blind, placebo-controlled randomised trial
PubMed ID: 16083996
Total body potassium measurements reflect wholeâbody mineral (K) storesâused to monitor mineral balance in nutritional trials.
- Enalapril dosage in progressive chronic nephropathy: a randomised, controlled trial
PubMed ID: 15761754
Higher ACE inhibitor exposure produced a clear rise in plasma potassiumâdirect demonstration of mineral (K) perturbation.
- An analysis of the effectiveness and benefits of peritoneal dialysis and haemodialysis using Nigerian made PD fluids
PubMed ID: 16749353
Dialysis study produced large serum K changesâdirectly demonstrates clinical mineral (K) balance perturbation.
- A randomized, double-blind comparison of lactated Ringer's solution and 0.9% NaCl during renal transplantation
PubMed ID: 15845718
Fluid choice perioperatively affected potassium levels â direct impact on mineral (electrolyte) balance.
- Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men
PubMed ID: 16762939
Population intervention increased dietary potassium (and reduced sodium), altering mineral balance with measurable clinical benefits.
- Efficacy and safety of 24 weeks of therapy with bendroflumethiazide 1.25 mg/day or 2.5 mg/day and potassium chloride compared with enalapril 10 mg/day and amlodipine 5 mg/day in patients with mild to moderate primary hypertension : a multicentre, randomised, open study
PubMed ID: 17163239
Co-administration of potassium chloride with thiazide preserved serum potassium, directly addressing mineral balance.
- Effect of potassium canrenoate, an anti-aldosterone agent, on incidence of ascites and variceal progression in cirrhosis
PubMed ID: 16931172
Kcanrenoate (antialdosterone) affects Na/K balance and showed clinical benefit in cirrhosis; relevant to mineral homeostasis.
- Long-term effects of spironolactone on proteinuria and kidney function in patients with chronic kidney disease
PubMed ID: 17035949
Spironolactone increased serum potassium while improving renal outcomes; clear effect on potassium homeostasis/mineral balance.
- Appropriateness of spironolactone prescribing in heart failure patients: a population-based study
PubMed ID: 16624686
Community data highlighted hyperkalemia events and unsafe concurrent supplementing while on MRAs â important mineral balance safety message.
- No effect of increased water intake on blood viscosity and cardiovascular risk factors
PubMed ID: 17181872
Increased water intake lowered urinary potassium excretionâimportant effect on mineral handling.
- Oral rehydration solution to prevent nephrotoxicity of amphotericin B
PubMed ID: 17172377
ORT better prevented hypokalemia than IV saline during amphotericin therapyâstrong evidence for preserving mineral (potassium) balance.
- Randomized, placebo-controlled trial of the effects of drospirenone-estradiol on blood pressure and potassium balance in hypertensive postmenopausal women receiving hydrochlorothiazide
PubMed ID: 17224857
DRSP/E2 partially prevented thiazideâinduced potassium lossâdirect evidence for maintaining potassium balance.
- Pharmacokinetics and pharmacodynamics of drospirenone-estradiol combination hormone therapy product coadministered with hydrochlorothiazide in hypertensive postmenopausal women
PubMed ID: 17906162
Demonstrated prevention of thiazide-induced potassium lossâdirect evidence for maintaining mineral (potassium) balance.
- Changes in body composition with weight loss: obese subjects randomized to surgical and medical programs
PubMed ID: 17495195
Total body potassium measurements during weight loss show meaningful shifts in whole-body potassium storesâstrong evidence about mineral status.
- Coadministration of estradiol/drospirenone and indomethacin does not cause hyperkalemia in healthy postmenopausal women: a randomized open-label crossover study
PubMed ID: 17463217
Coadministration of drugs that could affect K resulted in no plasma K increase, providing evidence about preservation of serum K in that setting.
- Effects of multiple oral doses of an A1 adenosine antagonist, BG9928, in patients with heart failure: results of a placebo-controlled, dose-escalation study
PubMed ID: 17692744
Drug increased sodium excretion while largely sparing K excretion, demonstrating effects on mineral handling and K preservation.
- A pilot study of potassium supplementation in the treatment of hypokalemic patients with rheumatoid arthritis: a randomized, double-blinded, placebo-controlled trial
PubMed ID: 18468955
Oral potassium directly corrected hypokalemia in RA patientsâclear evidence for restoring mineral (K) balance.
- Serum potassium changes with initiating low-carbohydrate compared to a low-fat weight loss diet in type 2 diabetes
PubMed ID: 18176291
Dietary changes produced measurable serum K decreases and required supplementation in some subjects, highlighting mineral balance vulnerability.
- Cholesteryl ester transfer protein inhibition, high-density lipoprotein raising, and progression of coronary atherosclerosis: insights from ILLUSTRATE (Investigation of Lipid Level Management Using Coronary Ultrasound to Assess Reduction of Atherosclerosis by CETP Inhibition and HDL Elevation)
PubMed ID: 19029466
Torcetrapib-associated reduction in serum potassium indicates disturbance of mineral balance (clear drug-induced effect).
- A new formulation of tolevamer, a novel nonantibiotic polymer, is safe and well-tolerated in healthy volunteers: a randomized phase I trial
PubMed ID: 18341677
Measured urinary K excretion changes with tolevamerâshows effects on mineral (K) handling.
- [Study on safety and efficacy of concentrated potassium chloride infusions in critically ill patients with hypokalemia]
PubMed ID: 18611341
Trial demonstrates effective K repletion with markedly less fluid and safe correctionâdirect evidence for maintaining K mineral balance.
- Racial differences in urinary potassium excretion
PubMed ID: 18579642
Population urinary K excretion data highlight differences in mineral handling and intake across groups.
- Cholesteryl ester transfer protein inhibitor torcetrapib and off-target toxicity: a pooled analysis of the rating atherosclerotic disease change by imaging with a new CETP inhibitor (RADIANCE) trials
PubMed ID: 19029469
Torcetrapib was associated with lower serum potassium, demonstrating clinically important disturbance of mineral (K+) balance linked to adverse vascular effects.
- Differential associations of dietary sodium and potassium intake with blood pressure: a focus on pulse pressure
PubMed ID: 19462490
Population association between dietary K and lower BP supports the role of potassium in mineral/electrolyte homeostasis.
- Inability of healthy subjects to deposit potassium during hypokinesia and potassium supplementation
PubMed ID: 19178877
Potassium supplementation substantially changed plasma, urinary and fecal K and decreased muscle K content during hypokinesia â strong evidence of effects on potassium/mineral balance.
- Racial differences in potassium homeostasis in response to differences in dietary sodium in girls
PubMed ID: 20007307
Controlled-diet study demonstrated meaningful differences in potassium excretion and retentionâdirect mineral-balance evidence.
- Antihypertensive efficacy and tolerability of aliskiren/hydrochlorothiazide (HCT) single-pill combinations in patients who are non-responsive to HCT 25 mg alone
PubMed ID: 19245300
Aliskiren/HCT combination reduced hypokalemia incidence relative to HCT aloneâevidence relevant to mineral balance management.
- Supramaximal dose of candesartan in proteinuric renal disease
PubMed ID: 19211712
ARB-induced hyperkalemia in renal disease directly shows clinically important mineral-balance disturbances.
- Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study
PubMed ID: 20101007
DASH raised urinary potassium indicating altered mineral balance with beneficial cardiovascular effects.
- Increased serum potassium affects renal outcomes: a post hoc analysis of the Reduction of Endpoints in NIDDM with the Angiotensin II Antagonist Losartan (RENAAL) trial
PubMed ID: 20882268
Shows ARB therapy alters serum potassium distribution across patients and that K elevations have clinical consequences (mineral balance relevance).
- Beta2-adrenergic receptor genotype affects the renin-angiotensin-aldosterone system response to the Dietary Approaches to Stop Hypertension (DASH) dietary pattern
PubMed ID: 20519561
DASH increased urinary potassium â evidence dietary pattern affects mineral (K) excretion and hormonal regulators.
- Combined versus sequential diuretic treatment of ascites in non-azotaemic patients with cirrhosis: results of an open randomised clinical trial
PubMed ID: 19570764
Potassium-sparing agent use produced notable hyperkalaemia rates â key mineral-balance safety signal.
- Angiotensin converting enzyme inhibitor use soon after renal transplantation: a randomized, double-blinded placebo-controlled safety study
PubMed ID: 21158922
ACE inhibitor post-transplant data show potassium elevations and combined creatinine/potassium endpoints â directly relevant to mineral/balance disturbances.
- Rationale and design of the Eplerenone in Mild Patients Hospitalization And SurvIval Study in Heart Failure (EMPHASIS-HF)
PubMed ID: 20388647
Eplerenone trial protocol explicitly adjusts therapy according to serum potassium â central to mineral-balance management.
- Renal function in outpatients with chronic heart failure
PubMed ID: 20447572
Association of spironolactone with impaired renal function in HF highlights risks to mineral (potassium) homeostasis.
- Evaluation of the efficacy and safety of RLY5016, a polymeric potassium binder, in a double-blind, placebo-controlled study in patients with chronic heart failure (the PEARL-HF) trial
PubMed ID: 21208974
RLY5016 specifically modulated serum potassium (a mineral) with clinically significant reductions in hyperkalaemia incidence â direct evidence for maintaining mineral balance.
- Analysis of baseline parameters in the HALT polycystic kidney disease trials
PubMed ID: 22205355
Associations of serum and urine potassium with eGFR and disease stage in ADPKD indicate role of K in mineral homeostasis in kidney disease.
- Long-term results of a prospective, randomized trial comparing retroperitoneoscopic partial versus total adrenalectomy for aldosterone producing adenoma
PubMed ID: 21419437
Correction of primary aldosteronism normalized mineralocorticoid status and removed the need for potassium supplementation.
- The use of plasma aldosterone and urinary sodium to potassium ratio as translatable quantitative biomarkers of mineralocorticoid receptor antagonism
PubMed ID: 22017794
MR antagonism produced marked changes in urinary Na+/K+ and aldosterone, demonstrating effects on mineral (Na/K) balance.
- Effects of sodium intake and diet on racial differences in urinary potassium excretion: results from the Dietary Approaches to Stop Hypertension (DASH)-Sodium trial
PubMed ID: 23157935
Controlled feeding trial directly measured 24âhour urinary potassium and diet/sodium interactions â strong, direct evidence about potassium balance (mineral homeostasis).
- Clinical significance of incident hypokalemia and hyperkalemia in treated hypertensive patients in the antihypertensive and lipid-lowering treatment to prevent heart attack trial
PubMed ID: 22431578
Central observational evidence that deviations in serum K are linked to mortality/CV events â underlines the importance of maintaining mineral (K) balance.
- Cardiorenal end points in a trial of aliskiren for type 2 diabetes
PubMed ID: 23121378
Aliskiren increased clinically important hyperkalaemia (11.2% vs 7.2%) in a large randomized trial â important safety evidence about mineral (K) balance.
- Gluco- and mineralocorticoid biological effects of a 7-day treatment with low doses of hydrocortisone and fludrocortisone in septic shock
PubMed ID: 22584796
Hydrocortisone+fludrocortisone caused measurable shifts in Na and K, demonstrating pharmacologic control of mineral balance.
- The safety and tolerability of spironolactone in patients with mild to moderate chronic kidney disease
PubMed ID: 21950312
Spironolactone in CKD produced measurable potassium rises and hyperkalemia eventsâdirectly relevant to mineral balance/safety.
- Net endogenous acid production is associated with a faster decline in GFR in African Americans
PubMed ID: 22475819
Estimated dietary potassium (part of NEAP) associated with kidney outcomes, supporting a role for potassium in mineral/acidâbase homeostasis.
- Increased dietary sodium is independently associated with greater mortality among prevalent hemodialysis patients
PubMed ID: 22418981
Na:K dietary ratios strongly correlated with mortality in dialysis patients â direct evidence of mineral (Na/K) balance importance.
- Efficacy and hemodynamic outcome of prolonged intermittent renal replacement therapy (PIRRT) in critically ill patients: a preliminary report
PubMed ID: 22574560
PIRRT lowered serum K in AKI patientsâshows active correction of mineral excess in critical care.
- Safety and tolerability of the novel non-steroidal mineralocorticoid receptor antagonist BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double-blind trial
PubMed ID: 23713082
BAY 94â8862 produced smaller K increases than spironolactoneârelevant to preserving mineral (K) balance during therapy.
- A randomised controlled trial evaluating the effect of potassium supplementation on vascular function and the renin-angiotensin-aldosterone system
PubMed ID: 24048291
KCl supplementation altered RAAS and lowered BP â evidence K intake influences systemic mineral/homeostatic responses.
- Partial genetic deficiency in tissue kallikrein impairs adaptation to high potassium intake in humans
PubMed ID: 23760292
Impaired renal kallikrein response led to higher plasma K on highâK dietâdirectly about mineral handling and balance.
- Effect of spironolactone on diastolic function and exercise capacity in patients with heart failure with preserved ejection fraction: the Aldo-DHF randomized controlled trial
PubMed ID: 23443441
Spironolactone caused a modest K rise and eGFR decreaseâclinical demonstration that therapies alter mineral balance.
- A large-scale cluster randomized trial to determine the effects of community-based dietary sodium reduction--the China Rural Health Initiative Sodium Reduction Study
PubMed ID: 24176436
Salt-substitute protocol intends to increase dietary K+ (KCl) to alter Na+/K+ balance â directly relevant to mineral balance (protocol only).
- Prevention of hemolysis in blood samples collected from intravenous catheters
PubMed ID: 23391635
Shows how blood collection technique can artifactually alter measured K+, important for assessing mineral balance accurately.
- Risk of hyperkalemia in patients with moderate chronic kidney disease initiating angiotensin converting enzyme inhibitors or angiotensin receptor blockers: a randomized study
PubMed ID: 23915518
ACEI/ARB in stageâ3 CKD caused measurable rises in serum potassium and frequent hyperkalemia â direct evidence on potassium homeostasis.
- Evaluation of spironolactone plus hydrochlorothiazide in reducing proteinuria in type 2 diabetic nephropathy
PubMed ID: 23486907
Spironolactone increased serum potassium modestly in diabetic nephropathy patients â relevant to K+ homeostasis.
- Long-term effects of addition of mineralocorticoid receptor antagonist to angiotensin II receptor blocker in patients with diabetic nephropathy: a randomized clinical trial
PubMed ID: 24009294
Spironolactone added to ARB reduced proteinuria and BP but caused cases of hyperkalemia â clear impact on potassium balance.
- Effectiveness and safety of spironolactone for systolic heart failure
PubMed ID: 24035170
Large realâworld cohort showed spironolactone use associated with a ~3.5âfold increased risk of severe hyperkalemia â strong evidence about disturbed mineral (K+) balance in practice.
- Prevention of contrast-induced nephropathy with Na/K citrate
PubMed ID: 23349296
Na/K citrate contains potassium and directly affects serum/urinary electrolytes in patients undergoing contrast exposure.
- Sodium zirconium cyclosilicate in hyperkalemia
PubMed ID: 25415807
Potassium binder (ZSâ9) powerfully changes serum potassium â direct, high-impact control of mineral (K) balance (for hyperkalemia).
- Patiromer in patients with kidney disease and hyperkalemia receiving RAAS inhibitors
PubMed ID: 25415805
Patiromer trial demonstrates robust, clinically meaningful correction of serum potassium â central to mineral balance.
- Regional variation in patients and outcomes in the Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist (TOPCAT) trial
PubMed ID: 25406305
TOPCAT analysis documents regional differences in hyperkalemia risk with spironolactone â relevant to population mineral balance under mineralocorticoid antagonism.
- Potassium handling with dual renin-angiotensin system inhibition in diabetic nephropathy
PubMed ID: 24408116
Differential serum K between spironolactone and losartan groups highlights effects on mineral (K+) homeostasis in kidney disease patients.
- Dissolution therapy versus shock wave lithotripsy for radiolucent renal stones in children: a prospective study
PubMed ID: 24679880
Potassium citrate therapy provides supplemental potassium and modifies urinary mineral chemistryâsupporting mineral balance in pediatric stone disease.
- Effects of sodium and potassium supplementation on blood pressure and arterial stiffness: a fully controlled dietary intervention study
PubMed ID: 25673113
Dietary potassium supplementation changed potassium balance sufficiently to lower ambulatory BP, demonstrating measurable mineral handling effects.
- Maintenance of serum potassium with sodium zirconium cyclosilicate (ZS-9) in heart failure patients: results from a phase 3 randomized, double-blind, placebo-controlled trial
PubMed ID: 26011677
ZSâ9 rapidly and durably normalized serum potassium in hyperkalaemic patientsâdirect effect on mineral (K+) balance.
- Effect of Patiromer on Serum Potassium Level in Patients With Hyperkalemia and Diabetic Kidney Disease: The AMETHYST-DN Randomized Clinical Trial
PubMed ID: 26172895
Patiromer produced sustained reductions in serum potassium across doses over 52 weeksâstrong evidence for maintaining potassium (a key mineral) within range.
- The Safety of Eplerenone in Hemodialysis Patients: A Noninferiority Randomized Controlled Trial
PubMed ID: 26138259
Eplerenone increased hyperkalemia incidence in hemodialysis patients, strongly illustrating clinical perturbation of potassium/mineral balance.
- A Dietary Intervention in Urban African Americans: Results of the "Five Plus Nuts and Beans" Randomized Trial
PubMed ID: 26321012
DASH-food provision increased urinary potassium (biomarker), demonstrating measurable changes in mineral intake/excretion consistent with maintenance of mineral balance.
- Isotonic versus Hypotonic Parenteral Maintenance Fluids in Very Severe Pneumonia
PubMed ID: 26027555
Isotonic maintenance IV fluids (including potassium chloride) substantially reduced hyponatremia vs hypotonic fluids â relevant for overall mineral/electrolyte balance.
- A phase 2 study on the treatment of hyperkalemia in patients with chronic kidney disease suggests that the selective potassium trap, ZS-9, is safe and efficient
PubMed ID: 25651363
Clear randomized evidence that ZS-9 reduces serum potassium and urinary potassium excretion in hyperkalemic CKD patients â directly alters mineral (K+) balance.
- Safety and Efficacy of Low-osmolarity ORS vs. Modified Rehydration Solution for Malnourished Children for Treatment of Children with Severe Acute Malnutrition and Diarrhea: A Randomized Controlled Trial
PubMed ID: 26314308
ORS with potassium corrected hypokalemia in children, demonstrating restoration of mineral balance.
- Salt sales survey: a simplified, cost-effective method to evaluate population salt reduction programs--a cluster-randomized trial
PubMed ID: 26657005
Salt-substitute intervention increased potassium intake population-wide â directly relevant to mineral balance at population level.
- Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial
PubMed ID: 27413123
Direct evidence that dietary potassium from food is effectively absorbed and excreted, supporting maintenance of mineral (K) balance.
- Urine Potassium Excretion, Kidney Failure, and Mortality in CKD
PubMed ID: 27233381
24-h urine K used as a validated surrogate for intake in CKD cohort and related to mortality â supports clinical relevance of maintained K balance.
- The Effects of a Community-Based Sodium Reduction Program in Rural China - A Cluster-Randomized Trial
PubMed ID: 27935977
Salt-substitute raised urinary K at population level and altered sodium intake â strong evidence of shifting mineral balance.
- Sodium Intake and All-Cause Mortality Over 20 Years in the Trials of Hypertension Prevention
PubMed ID: 27712772
TOHP 24âh urine data show sodium and sodium:potassium ratio predict longâterm mortalityâsupports K's role in mineral balance and health.
- The impact of oat (Avena sativa) consumption on biomarkers of renal function in patients with chronic kidney disease: A parallel randomized clinical trial
PubMed ID: 28003041
CKD-focused trial measured serum potassium changes and showed the intervention modestly prevented a rise in serum K â direct mineral-balance data in a renal cohort.
- Does education level affect the efficacy of a community based salt reduction program? - A post-hoc analysis of the China Rural Health Initiative Sodium Reduction Study (CRHI-SRS)
PubMed ID: 27515930
Saltâsubstitution program raised urinary K and reduced Na/K ratioâdirect effect on mineral (Na/K) balance.
- Treatment with patiromer decreases aldosterone in patients with chronic kidney disease and hyperkalemia on renin-angiotensin system inhibitors
PubMed ID: 27350174
Patiromer directly changes serum K concentration in CKDâstrong demonstration of altering mineral balance (K).
- Comparison of telmisartan/amlodipine and telmisartan/hydrochlorothiazide in the treatment of Japanese patients with uncontrolled hypertension: the TAT-Kobe study
PubMed ID: 26719915
Diuretic (HCTZ) combination lowered serum potassium and slightly affected eGFRâillustrates clinical perturbation of mineral balance by drugs.
- Impact of eplerenone on cardiovascular outcomes in heart failure patients with hypokalaemia
PubMed ID: 27868385
EMPHASIS-HF demonstrated clinical importance of potassium status (hypokalemia) for outcomes â underscores clinical relevance of maintaining mineral balance.
- Individual variation in urinary sodium excretion among adolescent girls on a fixed intake
PubMed ID: 27176144
Documented high intra-individual variability in urinary K, relevant to assessing and maintaining mineral (K) balance accurately.
- Feasibility of collecting 24-h urine to monitor sodium intake in the National Health and Nutrition Examination Survey
PubMed ID: 27413136
NHANES feasibility for 24-h urine collection produced population potassium excretion data useful for evaluating mineral balance at scale.
- The effect of co-trimoxazole on serum potassium concentration: safety evaluation of a randomized controlled trial
PubMed ID: 28192629
Randomized data showing coâtrimoxazole raised serum K and risk of hyperkalaemia â directly related to mineral (potassium) balance.
- A Trial of Extending Hemodialysis Hours and Quality of Life
PubMed ID: 28151412
Extended hemodialysis changed serum potassium and phosphateâdirect effects on mineral balance in renal patients.
- Probiotic Supplementation in Chronic Kidney Disease: A Double-blind, Randomized, Placebo-controlled Trial
PubMed ID: 28888762
Probiotics increased serum potassium in HD patientsâdemonstrates that interventions can shift mineral levels.
- Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis
PubMed ID: 29198641
Selfâmanagement intervention produced improvements in serum potassium (mineral balance) in HD patients.
- Effects of bumetanide on neurobehavioral function in children and adolescents with autism spectrum disorders
PubMed ID: 28291262
Bumetanide induced hypokalemia doseâdependently â a clear demonstration of disruption to mineral balance requiring correction.
- Characterization of Non-Nutritive Sweetener Intake in Rural Southwest Virginian Adults Living in a Health-Disparate Region
PubMed ID: 28708096
Dietary study showing lower potassium intake in certain consumersâdirectly relevant to maintenance of mineral intake/balance.
- Comparison of enteral versus intravenous potassium supplementation in hypokalaemia in paediatric patients in intensive care post cardiac surgery: open-label randomised equivalence trial (EIPS)
PubMed ID: 28495809
Direct randomized evidence that enteral potassium replacement corrects serum potassium effectivelyâcore to mineral balance.
- LY3045697: Results from two randomized clinical trials of a novel inhibitor of aldosterone synthase
PubMed ID: 28814143
Aldosterone inhibitor increased serum potassiumâclear impact on systemic K distribution and mineral balance.
- Evaluation of the Potential for Drug Interactions With Patiromer in Healthy Volunteers
PubMed ID: 28585859
Patiromer increases fecal K+ excretion and is used clinically to manage systemic potassiumâdirect effect on mineral balance.
- Effect of eplerenone in patients with heart failure and reduced ejection fraction: potential effect modification by abdominal obesity. Insight from the EMPHASIS-HF trial
PubMed ID: 28303624
Eplerenone trial monitored serum potassium across subgroupsârelevant to clinical mineral balance in HF therapy.
- Validation and Assessment of Three Methods to Estimate 24-h Urinary Sodium Excretion from Spot Urine Samples in High-Risk Elder Patients of Stroke from the Rural Areas of Shaanxi Province
PubMed ID: 29019912
Spot urine Na/K ratio correlation informs estimation of sodium and potassium excretion and thus mineral balance.
- LY3127760, a Selective Prostaglandin E4 (EP4) Receptor Antagonist, and Celecoxib: A Comparison of Pharmacological Profiles
PubMed ID: 28857461
LY3127760 decreased urinary K+ excretion notablyâevidence of drugâmediated shifts in potassium handling.
- Effect of transfusion of washed red blood cells on serumpotassium level in hemodialysis patients
PubMed ID: 28425272
Transfusion-related serum potassium falls in dialysis patients highlight clinically important K+ shifts and mineral balance.
- A randomized trial of the efficacy and safety of azilsartan medoxomil combined with chlorthalidone
PubMed ID: 30175930
Adding azilsartan reduced chlorthalidoneâassociated hypokalemia â demonstrates preservation of mineral (K+) balance.
- Effects of salt substitute on home blood pressure differs according to age and degree of blood pressure in hypertensive patients and their families
PubMed ID: 29400576
HighâK salt substitute increases K+ intake and affects systemic mineral balance with BP benefits.
- Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy
PubMed ID: 29753370
ARB+spironolactone produced significant rises in serum potassium (and hyperkalemia events) â clear mineral balance effect.
- Effect of Patiromer in Hyperkalemic Patients Taking and Not Taking RAAS Inhibitors
PubMed ID: 30103622
Patiromer actively lowers serum potassium and keeps K+ in target range â direct mineral balance evidence.
- Impact of long-term potassium supplementation on thiazide diuretic-induced abnormalities of glucose and uric acid metabolisms
PubMed ID: 29497150
Direct oral potassium chloride supplementation trial evaluates changes in serum potassium and uric acid â mineral balance data.
- Long-term effects of patiromer for hyperkalaemia treatment in patients with mild heart failure and diabetic nephropathy on angiotensin-converting enzymes/angiotensin receptor blockers: results from AMETHYST-DN
PubMed ID: 29767459
Yearâlong patiromer data showing maintenance of K+ homeostasis in patients on RAAS inhibitors.
- Interaction Between the Sodium-Glucose-Linked Transporter 2 Inhibitor Dapagliflozin and the Loop Diuretic Bumetanide in Normal Human Subjects
PubMed ID: 29440005
Drugs that increase urinary K+ excretion and lower serum K+ provide strong evidence on mineral (K) handling.
- Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers
PubMed ID: 29381789
Shows selfâreport tools misestimate potassium intake â important for population mineral balance estimation.
- Single- and multiple-dose escalation study to assess pharmacokinetics, pharmacodynamics and safety of oral esaxerenone in healthy Japanese subjects
PubMed ID: 29688582
Esaxerenone produced dose-dependent increases in serum potassium, demonstrating clinically relevant shifts in mineral balance.
- Evaluation of an individualized dose titration regimen of patiromer to prevent hyperkalaemia in patients with heart failure and chronic kidney disease
PubMed ID: 29369537
Patiromer maintained serum potassium within target range in HF with CKD, showing clear effect on mineral balance.
- A Phase 3b, Randomized, Double-Blind, Placebo-Controlled Study of Sodium Zirconium Cyclosilicate for Reducing the Incidence of Predialysis Hyperkalemia
PubMed ID: 31201218
Sodium zirconium cyclosilicate directly improved maintenance of predialysis potassium in ESRDâstrong evidence for mineral (potassium) balance control.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): a phase 2, randomised, double-blind, placebo-controlled trial
PubMed ID: 31533906
Patiromer prevents hyperkalemia, enabling continuation of mineral-altering RAAS therapyâstrong evidence for maintaining K+ mineral balance.
- Efficacy and safety of sodium zirconium cyclosilicate in patients with baseline serum potassium level ⼠5.5 mmol/L: pooled analysis from two phase 3 trials
PubMed ID: 31791288
SZC produces rapid, substantial reductions in serum K+, directly restoring mineral (potassium) balance in hyperkalemia.
- Patiromer for Treatment of Hyperkalemia in the Emergency Department: A Pilot Study
PubMed ID: 31599043
Patiromer lowered serum K+ within 2 hours in ED hyperkalemia patientsâsupports short-term mineral balance correction.
- A self-monitoring urinary salt excretion level measurement device for educating young women about salt reduction: A parallel randomized trial involving two groups
PubMed ID: 31058457
Study directly demonstrated improvement in 24âh urinary Na/K ratio via selfâmonitoringâevidence of mineral balance improvement.
- Esaxerenone (CS-3150) in Patients with Type 2 Diabetes and Microalbuminuria (ESAX-DN): Phase 3 Randomized Controlled Clinical Trial
PubMed ID: 33239409
Esaxerenone reduced albuminuria but increased K events â relevant to mineral balance management.
- Efficacy and safety of sodium zirconium cyclosilicate for hyperkalaemia: the randomized, placebo-controlled HARMONIZE-Global study
PubMed ID: 31944628
SZC alters serum potassium substantially â directly impacts mineral balance.
- Early detection of diabetic kidney disease by urinary proteomics and subsequent intervention with spironolactone to delay progression (PRIORITY): a prospective observational study and embedded randomised placebo-controlled trial
PubMed ID: 32135136
Spironolactone increased hyperkalemia incidence in diabetes cohort â clear implication for mineral (K) balance and monitoring.
- Reduced Diuretic Dose in Patients Treated With Eplerenone: Data From the EPHESUS Trial
PubMed ID: 32354280
Eplerenone (Kâsparing MR antagonist) influences K retention and broader mineral handling postâMI.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK explicitly includes potassium infusion and altered electrolyte/mineral parametersâdirect maintenance of mineral balance.
- Spironolactone dose in heart failure with preserved ejection fraction: findings from TOPCAT
PubMed ID: 32452128
Spironolactone dosing decisions were influenced by serum potassium, indicating impact on mineral balance in HF patients.
- Phase 1 Studies to Define the Safety, Tolerability, and Pharmacokinetic and Pharmacodynamic Profiles of the Nonsteroidal Mineralocorticoid Receptor Antagonist Apararenone in Healthy Volunteers
PubMed ID: 32820619
Apararenone altered urinary Na+/K+ excretion (Na+/K+ ratio) in doseâdependent fashion â demonstrates influences on mineral handling.
- Effect of salt substitution on community-wide blood pressure and hypertension incidence
PubMed ID: 32066973
Salt substitute increased urinary K excretion (documented) and shifted dietary Na/K balance, relevant to mineral homeostasis.
- Correction of serum potassium with sodium zirconium cyclosilicate in Japanese patients with hyperkalemia: a randomized, dose-response, phase 2/3 study
PubMed ID: 32779057
SZC rapidly lowered serum K and restored normokalemia â direct mineralâbalance therapy for hyperkalemia.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): results in the pre-specified subgroup with heart failure
PubMed ID: 32452085
Patiromer improved potassium control and reduced hyperkalemia incidence â direct evidence of maintaining mineral (K) balance in CKD/HF.
- Effect of Salt Substitution on Cardiovascular Events and Death
PubMed ID: 34459569
Large saltâsubstitute RCT changed population Na/K intake and achieved major CV benefits while not substantially increasing serious hyperkalemia.
- Feasibility of Low-Sodium, High-Potassium Processed Foods and Their Effect on Blood Pressure in Free-Living Japanese Men: A Randomized, Double-Blind Controlled Trial
PubMed ID: 34684498
Dietary K intervention increased K excretion and changed Na/K ratio â evidence of mineral balance alteration.
- Effects of a reduced-sodium added-potassium salt substitute on blood pressure in rural Indian hypertensive patients: a randomized, double-blind, controlled trial
PubMed ID: 33782684
Salt substitute increased urinary K and altered Na:K ratio â direct effect on mineral (K) balance.
- Effect of senna glycoside on serum potassium levels among patients on maintenance hemodialysis: A randomized controlled trial
PubMed ID: 38318690
Senna glycoside modestly lowered predialysis serum K in HD patients â affects potassium balance.
- Effect of dynamic stratified potassium supplementation in elderly patients with chronic heart failure and moderate to severe hypokalaemia-a randomised, controlled trial
PubMed ID: 34686091
IV protocol achieved faster normalization and lower total K dose â direct clinical maintenance of potassium balance.
- Patiromer and Spironolactone in Resistant Hypertension and Advanced CKD: Analysis of the Randomized AMBER Trial
PubMed ID: 35369022
Patiromer actively controls serum K enabling RAAS therapy â directly maintains K mineral balance.
- Oral sodium bicarbonate in people on haemodialysis: a randomised controlled trial
PubMed ID: 34674667
Sodium bicarbonate reduced interâdialytic K gain and hyperkalaemia frequency â contributes to mineral balance.
- Effects of canagliflozin on serum potassium in people with diabetes and chronic kidney disease: the CREDENCE trial
PubMed ID: 34423370
Reduced hyperkalaemia events and lower need for potassium binders demonstrate preserved K balance in CKD patients.
- Randomised controlled trial of a smartphone application-based dietary self-management program on haemodialysis patients
PubMed ID: 33377565
Appâbased dietary management in HD patients lowered serum K â practical maintenance of mineral balance.
- Finerenone Dose-Exposure-Serum Potassium Response Analysis of FIDELIO-DKD Phase III: The Role of Dosing, Titration, and Inclusion Criteria
PubMed ID: 34786651
Finerenone caused measurable serum potassium increases and hyperkalemia incidence â central to mineral balance in CKD/T2D.
- A Text Messaging Intervention for Dietary Behaviors for People Receiving Maintenance Hemodialysis: A Feasibility Study of KIDNEYTEXT
PubMed ID: 33421456
Hemodialysis dietary program targeted potassium intake reporting reductions â direct mineral balance management.
- Patiromer for the management of hyperkalemia in heart failure with reduced ejection fraction: the DIAMOND trial
PubMed ID: 35900838
Patiromer directly modifies serum potassium and reduces hyperkalaemiaâstrong maintenance of mineral (K) balance.
- Results from a phase 1, randomized, double-blind, multiple ascending dose study characterizing the pharmacokinetics and demonstrating the safety and selectivity of the aldosterone synthase inhibitor baxdrostat in healthy volunteers
PubMed ID: 36266539
Baxdrostat suppressed aldosterone and caused modest K increasesârelevant to mineral (Na/K) balance regulation by the RAAS.
- Short-Term Changes in Serum Potassium and the Risk of Subsequent Vascular Events and Mortality: Results from a Randomized Controlled Trial of ACE Inhibitors
PubMed ID: 35896277
Large trial data on ACE-inhibitors tracked short-term K changes and showed clinical implications for mineral homeostasis during therapy.
- Comparison potassium sodium hydrogen citrate with sodium bicarbonate in urine alkalization: a prospective crossover-controlled trial
PubMed ID: 36261757
Potassiumâsodiumâhydrogen citrate changed urinary chemistry and systemic acidâbase, impacting mineral handling.
- Potassium responses to sodium zirconium cyclosilicate in hyperkalemic hemodialysis patients: post-hoc analysis of DIALIZE
PubMed ID: 35135481
SZC directly and substantially adjusted serum potassium to target ranges in dialysis patients â strong mineralâbalance evidence.
- Reduction in the magnitude of serum potassium elevation in combination therapy with esaxerenone (CS-3150) and sodium-glucose cotransporterâ2 inhibitor in patients with diabetic kidney disease: Subanalysis of two phaseâIII studies
PubMed ID: 35199478
SGLT2 inhibitor coâadministration markedly reduced MRBâassociated potassium elevations â supports maintenance of serum K homeostasis.
- Comparative antiplatelet effects of chlorthalidone and hydrochlorothiazide
PubMed ID: 36067089
Quantified substantial potassium losses with chlorthalidone and HCTZ â important evidence about perturbation of mineral balance by common drugs.
- Ultrasound dynamic monitoring of IVCD to guide application of CRRT in patients with renal failure combined with acute heart failure
PubMed ID: 35982101
Large serum K decreases under CRRT demonstrate active manipulation of mineral balance in critical care settings.
- Efficacy and safety of a low-sodium diet and spironolactone in patients with stage 1-3a chronic kidney disease: a pilot study
PubMed ID: 35247964
CKD dietary/spironolactone study tracked serum K and occasional transient hyperkalaemia â relevant to maintaining safe mineral balance.
- Cost-Effectiveness of a Household Salt Substitution Intervention: Findings From 20 995 Participants of the Salt Substitute and Stroke Study
PubMed ID: 35311346
Salt substitute trial intentionally replaced Na with K at population level â central evidence of changing mineral balance with clinical effects.
- Online prediction model for primary aldosteronism in patients with hypertension in Chinese population: A two-center retrospective study
PubMed ID: 35983513
Hypokalemia is a diagnostic marker in the prediction model for primary aldosteronism â underscores clinical importance of K balance.
- Efficacy and safety of aldosterone synthase inhibition with and without empagliflozin for chronic kidney disease: a randomised, controlled, phase 2 trial
PubMed ID: 38109916
Aldosterone synthase inhibitor altered K (hyperkalaemia rates) alongside renal endpoints â demonstrates mineral balance perturbation.
- Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial
PubMed ID: 37055566
KCl salt replacement altered mineral (Na/K) intake and raised serum K â strong evidence for changing mineral balance in a population.
- Pharmacokinetics and pharmacodynamics of finerenone in patients with chronic kidney disease and type 2 diabetes: Insights based on FIGARO-DKD and FIDELIO-DKD
PubMed ID: 38037539
Finerenone modeling shows how dose/exposure affects serum potassium and kidney outcomes â mineral-balance relevance.
- Efficacy and Safety of Low-dose Spironolactone for Chronic Kidney Disease in Type 2 Diabetes
PubMed ID: 36916985
Spironolactone changed potassium handling in CKD patients â relevant to mineral homeostasis.
- Comparing the effects of mHealth app use and face-to-face training on the clinical and laboratory parameters of dietary and fluid intake adherence in hemodialysis patients: a randomized clinical trial
PubMed ID: 37386428
Hemodialysis diet/fl uid-adherence program altered serum K and other labs â direct mineral-balance evidence in a renal population.
- Empowerment-based nutrition interventions on blood pressure: a randomized comparative effectiveness trial
PubMed ID: 38026295
Intervention increased urinary K and is explicitly about dietary mineral balance and its BP effects.
- DIALIZE China: A Phase IIIb, Randomized, Placebo-Controlled Study to Reduce Predialysis Hyperkalemia With Sodium Zirconium Cyclosilicate in Chinese Patients
PubMed ID: 37385905
SZC maintained predialysis K within desired ranges in hemodialysis patientsâimportant for mineral homeostasis in renal care.
- A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone
PubMed ID: 37313750
Peritoneal dialysis study demonstrated more effective potassium removal with combined modality, impacting mineral balance.
- A novel clinical-imaging nomogram for predicting primary aldosteronism in patients with hypertension
PubMed ID: 37488299
24âh urine potassium and hypokalemia history were strong predictors in a diagnostic model â emphasizes K+ as a key mineral parameter.
- Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial
PubMed ID: 39215972
Direct trial of potassium supplementation thresholds demonstrating clinically acceptable outcomes and resource savings â central to strategies maintaining mineral (K+) balance.
- Sodium Zirconium Cyclosilicate for Management of Hyperkalemia During Spironolactone Optimization in Patients With Heart Failure
PubMed ID: 39566872
SZC maintained normokalemia in HF patients and reduced hyperkalemia risk, strongly supporting mineral balance.
- First-in-human study evaluating safety, pharmacokinetics, and pharmacodynamics of lorundrostat, a novel and highly selective aldosterone synthase inhibitor
PubMed ID: 39152532
Aldosterone synthase inhibitor produced dose-related rises in serum potassium â important evidence of how interventions shift K balance.
- Patiromer for Heart Failure Medication Optimization in Patients With Current or Past Hyperkalemia: DIAMOND Subanalysis
PubMed ID: 39340493
Patiromer lowered serum K and supported medication optimizationâclear impact on K mineral homeostasis in HF patients.
- Adherence to the Mediterranean Diet, Sodium and Potassium Intake in People at a High Risk of Dementia
PubMed ID: 38794657
Measured 24âh urinary potassium demonstrated meaningful variation in dietary potassium exposure â direct measure of mineral intake/status.
- Aldosterone synthase inhibitor (BI 690517) therapy for people with diabetes and albuminuric chronic kidney disease: A multicentre, randomized, double-blind, placebo-controlled, Phase I trial
PubMed ID: 38497241
Aldosterone synthase inhibitor suppressed aldosterone and impacted albuminuria but caused hyperkalaemiaâshows strong link between intervention and K balance (adverse).
- HARMONIZE Asia: A Phase III Randomized Study to Investigate the Efficacy and Safety of Sodium Zirconium Cyclosilicate in Patients with Hyperkalemia in China
PubMed ID: 39112102
SZC effectively lowered and maintained serum potassium in hyperkalaemiaâstrong evidence for controlling K mineral balance.
- Oral alkalinizing supplementation suppressed intrarenal reactive oxidative stress in mild-stage chronic kidney disease: a randomized cohort study
PubMed ID: 38872014
Oral potassium citrate intervention modified urinary chemistry and markers of renal oxidative stress â supports K-related mineral balance.
- Patiromer-Facilitated Renin-Angiotensin-Aldosterone System Inhibitor Utilization in Patients with Heart Failure with or without Comorbid Chronic Kidney Disease: Subgroup Analysis of DIAMOND Randomized Trial
PubMed ID: 39159624
Patiromer substantially reduced hyperkalemia events and helped patients stay on RAASi/MRA therapy â direct, strong evidence for K mineral balance maintenance.
- Effect of spironolactone wash-out on albuminuria after long-term treatment in individuals with type 2 diabetes and high risk of kidney disease-An observational follow-up of the PRIORITY study
PubMed ID: 39468380
Stopping spironolactone reduced serum Kâdemonstrates how therapeutics influence mineral balance.
- Efficacy and safety of patiromer for non-dialysis and dialysis patients with hyperkalemia: the randomized, placebo-controlled and long-term study
PubMed ID: 39580768
Patiromer actively binds K and normalizes serum potassium longâtermâstrong evidence for maintaining systemic mineral (K) balance.
- The effect of salt substitution on frequency and severity of headache: results from the SSaSS cluster-randomised controlled trial of 20,995 participants
PubMed ID: 38402353
Kâenriched salt increased K excretion and intake at a population levelâsupports maintenance of K mineral balance.
- Prevalence and characteristics of upfront diuretic resistance in acute heart failure: The P-Value-AHF study
PubMed ID: 39239801
Higher serum potassium associated with diuretic resistance and worse kidney function â links K status to clinical states altering mineral balance.
- First-in-Human Study to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of BMS-986308: A Renal Outer Medullary Potassium Channel Inhibitor
PubMed ID: 39219444
ROMK inhibitor altered renal K handling and led to natriuresis/diuresis â directly modifies mineral/electrolyte balance.
- Chlorthalidone vs Hydrochlorothiazide for Hypertension Treatment After Myocardial Infarction or Stroke: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 38743423
Large randomized diuretic comparison documented substantially higher hypokalemia with chlorthalidone â direct mineral (K) balance evidence.
- Efficacy and Safety of Baxdrostat in Uncontrolled and Resistant Hypertension
PubMed ID: 40888730
Baxdrostat caused doseâdependent hyperkalemia; important mineral balance safety signal.
- Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
PubMed ID: 40879429
Intervention raised plasma potassium to highânormal targets â direct mineral balance manipulation with clinical benefits.
- Sodium-Glucose Cotransporter 2 Inhibitor With and Without an Aldosterone Antagonist for Heart Failure With Preserved Ejection Fraction: The SOGALDI-PEF Trial
PubMed ID: 40738559
Drug addition meaningfully increased serum potassium â shows medicationâdriven shifts in mineral balance.
- A Randomized Clinical Trial of ICT-based Interventions for Sodium and Potassium Regulation in Healthy Adults
PubMed ID: 40214261
ICT increased estimated 24âh urinary K excretion â demonstrates change in mineral intake/excretion.
- Efficacy and safety of patiromer for hyperkalemia: a randomized, placebo-controlled phase 3 study
PubMed ID: 39976633
Patiromer maintained serum potassium within normal range compared with placebo â direct mineral balance evidence.
- Hypokalaemia in patients with type 2 diabetes and chronic kidney disease: the effect of finerenone-a FIDELITY analysis
PubMed ID: 39380152
Finerenone analyses showed substantial reductions in hypokalemia incidence â important for mineral homeostasis.
- Potassium quantification and sensory analysis in plant food cooking processes in heart disease patients
PubMed ID: 40681108
Demonstrated how cooking alters food potassium content â practical method to manage mineral intake.
- Consistency of Blood Pressure Response to Potassium-Enriched Salt in the China Salt Substitute Study
PubMed ID: 41263071
Potassiumâenriched salt increased K exposure and altered urinary Na/K â dietary mineral balance evidence.
- Sodium zirconium cyclosilicate versus sodium polystyrene sulfonate for treatment of hyperkalemia in hemodialysis patients: a randomized clinical trial
PubMed ID: 40329202
SZC normalized serum potassium faster than SPS â strong evidence for restoring mineral balance in hyperkalemic dialysis patients.
- Effect of sodium-reduced potassium-enriched salt substitutes on stomach cancer: the Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 40264179
Population-level substitution with KCl altered mineral exposure (Kâ, Naâ)ârelevant to mineral balance at scale.
- Effects of salt substitution on cumulative blood pressure: a secondary analysis of the SSaSS
PubMed ID: 40148710
Fiveâyear salt substitution trial influenced population mineral intake profiles (K/Na) and BP outcomes.
- Interplay of serum potassium and kidney function with finerenone in heart failure with mildly reduced or preserved ejection fraction: Findings from FINEARTS-HF
PubMed ID: 41039732
Analysis emphasized how baseline potassium and kidney function impact outcomes and hyperkalaemia riskâcentral to mineral balance.
- The Effects of a Whole-Food Plant-Based Nutrition Education Program on Blood Pressure and Potassium in Chronic Kidney Disease: A Proof-of-Concept Study
PubMed ID: 40077649
Plant-based diet increased dietary K without raising serum K in CKDâindicates safer mineral repletion.
- Changes in natriuretic peptide levels following patiromer-enabled optimization of medical therapy in heart failure: A post hoc analysis of the DIAMOND study
PubMed ID: 40607983
Patiromer used to control K and permit RAASi optimizationâexplicit strategy to maintain mineral/electrolyte balance.
- Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial
PubMed ID: 40024602
Hemodialysis dietary program changed serum potassium significantlyâdirect demonstration of dietary impact on mineral status in dialysis.
- Controlled potassium reduction using dialysate profiling in hyperkalemic hemodialysis patients: A randomized study
PubMed ID: 41185428
Direct dialysate potassium manipulation produced reliable changes in serum Kâstrong evidence for maintaining/minimizing mineral imbalance in dialysis.
- Factors Influencing the Efficacy of Low-Dose Spironolactone in Adults with Chronic Kidney Disease and Type 2 Diabetes: A post hoc Analysis
PubMed ID: 41391159
Spironolactone in CKD affected UACR and produced small K changes â relevant to mineral/electrolyte balance in kidney disease.
- Targeted Outreach by an Insurance Company Improved Dietary Habits and Urine Sodium/Potassium Ratios Among High-Risk Individuals with Lifestyle-Related Diseases
PubMed ID: 40647256
Education increased potassium intake and lowered urine Na/K ratio â demonstrated effect on mineral (Na/K) balance.
- Genetic variation in the renal sodium transporters NKCC2, NCC, and ENaC in relation to the effects of loop diuretic drugs
PubMed ID: 17460608
Genetic differences in renal transporters change diuretic responses and influence mineral/K balance.
- A safety and feasibility study comparing an intermittent high dose with a daily standard dose of liposomal amphotericin B for persistent neutropenic fever
PubMed ID: 19589901
Different amphotericin dosing led to fewer hypokalaemia daysâdirect clinical impact on K balance.
- Investigating the Effects of Moxibustion on Gastrointestinal Function and Gut Microbiota in Chronic Renal Failure: A CARE Non-Placebo Randomized Controlled Study in Peritoneal Dialysis Patients
PubMed ID: 40258348
Observed serum K changes in dialysis patients are directly relevant to maintaining appropriate mineral levels.
- Comparison of a new sulfate-free polyethylene glycol electrolyte lavage solution versus a standard solution for colonoscopy cleansing
PubMed ID: 2365214
Bowel prep produced a measurable reduction in serum K, directly informing mineral balance during GI prep.
- Bisoprolol vs. chlorthalidone: a randomized, double-blind, comparative study in arterial hypertension
PubMed ID: 11527126
Chlorthalidone caused significant hypokalemia, indicating diuretic-induced shifts in mineral/potassium homeostasis.
- Hypokalemia before induction of anesthesia and prevention by beta 2 adrenoceptor antagonism
PubMed ID: 1845926
Large documented perioperative potassium fall and prevention by betaâblockade illustrate clinically important mineral (K+) balance shifts.
- The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group
PubMed ID: 2064494
Dietary interventions included potassium changes affecting overall mineral/electrolyte balance as part of lifestyle modifications.
- Trial of antihypertensive intervention and management: greater efficacy with weight reduction than with a sodium-potassium intervention
PubMed ID: 8454808
Randomized dietary change produced measurable increases in potassium intake and urinary excretionâstrong evidence that potassium intake alters mineral balance.
- Metabolic effects of propranolol and hydroflumethiazide treatment in Kenyans with mild to moderate essential hypertension
PubMed ID: 8033771
Thiazide diuretics caused significant potassium depletion in hypertensive patientsâclinically relevant to mineral balance maintenance.
- Lack of effectiveness of a low-sodium/high-potassium diet in reducing antihypertensive medication requirements in overweight persons with mild hypertension. TAIM Research Group. Trial of Antihypertensive Interventions and Management
PubMed ID: 7826557
Dietary intervention directly changed urinary K excretion, reflecting dietary influence on mineral balance.
- Intravenous infusion or nebulization of salbutamol for treatment of hyperkalemia in patients with chronic renal failure
PubMed ID: 8039040
Large, rapid plasma K changes in renal patients illustrate clinical mineral-balance perturbations and the need for management.
- Safety of concomitant potassium-sparing diuretics in angiotensin-converting enzyme inhibitor therapy in severe congestive heart failure. Xamoterol in Severe Heart Failure Study Group
PubMed ID: 7526050
Large study documenting hyperkalaemia events and monitoring needs when combining potassium-sparing diuretics with ACE inhibitorsâdirectly about K mineral balance.
- Effects of different antihypertensive drugs on plasma fibrinogen in hypertensive patients
PubMed ID: 7669481
Reported potassium lowering with hydrochlorothiazide as part of antihypertensive therapy, indicating mineral balance impacts.
- Oral sodium phosphate versus sulfate-free polyethylene glycol electrolyte lavage solution in outpatient preparation for colonoscopy: a prospective comparison
PubMed ID: 8903817
Sodium phosphate bowel prep caused significant drops in potassium and ionized calciumâclear mineral-balance perturbation.
- Bowel preparation for colonoscopy: a randomized prospective trail comparing sodium phosphate and polyethylene glycol in a predominantly elderly population
PubMed ID: 8672752
Sodium phosphate produced a measurable K lowering vs PEGârelevant to mineral homeostasis during prep.
- Treatment of hyperkalaemia by altering the transcellular gradient in patients with renal failure: effect of various therapeutic approaches
PubMed ID: 9487416
Multiple therapies to acutely lower potassium in renal failure show direct interventions on mineral balance.
- The effects of antihypertensive combination therapy on lipid and glucose metabolism: hydrochlorothiazide plus sotalol vs. hydrochlorothiazide plus captopril
PubMed ID: 9208337
Long-term antihypertensive regimens produced decreases in serum potassiumâimportant for mineral balance monitoring.
- Comparison of chlorthalidone, propranolol and bopindolol in six-month treatment of arterial hypertension
PubMed ID: 9675624
Thiazide diuretic produced a modest decrease in serum potassium â clinical example of mineral balance perturbation.
- Bowel preparation for colonoscopy: comparison of mannitol and sodium phosphate. Results of a prospective randomized study
PubMed ID: 10881066
Bowel prep caused changes in serum phosphate, sodium and potassium â demonstrates impacts on mineral balance during clinical interventions.
- Potassium-adsorption filter for RBC transfusion: a phase III clinical trial
PubMed ID: 11134566
Direct and large removal of potassium from stored RBCs and quantification of mEq removed â direct evidence on mineral content control.
- Safety of formoterol Turbuhaler at cumulative dose of 90 microg in patients with acute bronchial obstruction
PubMed ID: 11829098
Formoterol and terbutaline both lowered serum K+, terbutaline more so â quantitative evidence of mineral shifts.
- [Prospective randomized single-blind trial comparing oral sodium phosphate with polyethylene glycol for colonoscopy preparation]
PubMed ID: 11275616
Oral sodiumâphosphate caused measurable electrolyte changes including decreased potassium and increased phosphate â demonstrates mineral balance perturbation.
- Clonidine premedication prevents preoperative hypokalemia
PubMed ID: 11880014
Clonidine prevented preoperative hypokalemia and increased serum K, directly relevant to preserving mineral (K) balance.
- Bowel preparation for colonoscopy in very old patients: a randomized prospective trial comparing oral sodium phosphate and polyethylene glycol electrolyte lavage solution
PubMed ID: 12678340
Elderly patients had modest potassium decreases after sodium-phosphate prep â demonstrates mineral-balance impact.
- Polyethylene glycol versus sodium phosphate in bowel cleansing for colonoscopy: a randomized trial
PubMed ID: 15933926
Sodium-phosphate bowel prep produced measurable changes in serum potassium and phosphate â evidence about mineral-balance disturbance.
- Rural and semi-urban differences in salt intake, and its dietary sources, in Ashanti, West Africa
PubMed ID: 15720047
Urinary potassium differences between settings gave a quantitative view of mineral (K+) intake/excretion differences.
- Factorial antihypertensive study of an extended-release metoprolol and hydrochlorothiazide combination
PubMed ID: 17161766
HCT in a large trial reduced serum Kâclear signal about medication effects on mineral balance.
Heart health (274)
- Glucose-insulin-potassium improves left ventricular performances after aortic valve replacement: a secondary analysis of a randomized controlled trial
PubMed ID: 31492103
Glucoseâinsulinâpotassium (GIK) infusion preserved/improved early left-ventricular function after aortic valve surgery; potassium included as active component in a clinically relevant cardiac intervention.
- Pretreatment with glucose-insulin-potassium improves ventricular performances after coronary artery bypass surgery: a randomized controlled trial
PubMed ID: 30788810
Preoperative GIK infusion (includes potassium) markedly preserved/increased intraoperative LV function and reduced need for inotropesâdirect cardiac functional benefit in RCT.
- Potassium infusion increases the likelihood of conversion of recent-onset atrial fibrillation-A single-blinded, randomized clinical trial
PubMed ID: 31986288
IV KCl infusion subgroup with rapid/higher K+ rise showed markedly higher conversion to sinus rhythmâevidence that K+ levels influence cardiac rhythm regulation.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): a phase 2, randomised, double-blind, placebo-controlled trial
PubMed ID: 31533906
By lowering K+ and allowing spironolactone continuation, patiromer supports guideline-directed heart failure therapy indirectly benefiting heart function.
- Efficacy and safety of sodium zirconium cyclosilicate in patients with baseline serum potassium level ⼠5.5 mmol/L: pooled analysis from two phase 3 trials
PubMed ID: 31791288
SZC rapidly normalized high K+, which is critical to prevent K+-mediated arrhythmias and regulate cardiac electrophysiology.
- Mineralocorticoid receptor antagonist pre-treatment and early post-treatment to minimize reperfusion injury after ST-elevation myocardial infarction: The MINIMIZE STEMI trial
PubMed ID: 30893577
Early IV potassium canrenoate (an MRA salt) plus oral MRA was associated with less adverse LV remodelling after MIâdirect cardiac functional outcome.
- Efficacy and safety of sodium zirconium cyclosilicate for hyperkalaemia: the randomized, placebo-controlled HARMONIZE-Global study
PubMed ID: 31944628
SZC rapidly normalizes serum K in hyperkalemia, reducing arrhythmia risk and helping regulate cardiac electrical stability.
- Emergency Potassium Normalization Treatment Including Sodium Zirconium Cyclosilicate: A Phase II, Randomized, Double-blind, Placebo-controlled Study (ENERGIZE)
PubMed ID: 32149451
SZC added to insulin/glucose improved early K lowering in emergency setting â relevant to acute cardiac safety.
- Efficacy and safety of early ultrafiltration in patients with acute decompensated heart failure with volume overload: a prospective, randomized, controlled clinical trial
PubMed ID: 33054727
Ultrafiltration in ADHF produced larger BNP reductions and volume loss â important for heart failure management; K was stable.
- Reduced Diuretic Dose in Patients Treated With Eplerenone: Data From the EPHESUS Trial
PubMed ID: 32354280
Eplerenone postâMI reduced adverse outcomes and altered diuretic needs â relevant to cardiac care; Kâsparing effects require monitoring.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
Perioperative GIK (contains potassium) significantly reduced major adverse cardiac events â strong heart benefit.
- Glucose-insulin-potassium infusion for the treatment of acute aluminum phosphide poisoning: an open-label pilot study
PubMed ID: 32129101
GIK infusion (includes K) improved hemodynamics and lowered mortality in aluminum phosphide poisoning â shows Kâcontaining therapy can acutely support cardiac function.
- Correction of serum potassium with sodium zirconium cyclosilicate in Japanese patients with hyperkalemia: a randomized, dose-response, phase 2/3 study
PubMed ID: 32779057
Rapid achievement of normokalemia with SZC reduces arrhythmogenic risk in hyperkalemic patients â direct relevance to cardiac rhythm stability.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): results in the pre-specified subgroup with heart failure
PubMed ID: 32452085
By reducing hyperkalemia, patiromer permitted continued spironolactone use in CKD/HF patients â facilitating guideline HF therapy that supports cardiac outcomes.
- Effect of Salt Substitution on Cardiovascular Events and Death
PubMed ID: 34459569
Saltâsubstitute trial reduced MACE and deaths â populationâlevel cardiovascular benefit plausibly mediated in part via increased K intake and BP lowering.
- Effect of dynamic stratified potassium supplementation in elderly patients with chronic heart failure and moderate to severe hypokalaemia-a randomised, controlled trial
PubMed ID: 34686091
Dynamic IV potassium protocol in elderly heartâfailure patients normalized K fasterârelevant for cardiac safety/function.
- Investigating the Effects of Moxibustion on Gastrointestinal Function and Gut Microbiota in Chronic Renal Failure: A CARE Non-Placebo Randomized Controlled Study in Peritoneal Dialysis Patients
PubMed ID: 40258348
Study in dialysis patients showed K lowering with moxibustion+PDâimportant for cardiac risk in renal patients.
- Serum potassium levels after induction of epidural anaesthesia using mepivacaine with and without adrenaline
PubMed ID: 2024567
Adrenaline in local anesthetic caused an average arterial K+ fall â0.3 mmol/L â a measurable effect on a parameter important to cardiac electrical stability.
- Hypokalemia before induction of anesthesia and prevention by beta 2 adrenoceptor antagonism
PubMed ID: 1845926
Large perioperative study found marked preâinduction potassium falls mediated by betaâ2 receptors â clinically relevant to cardiac safety during anesthesia.
- Intravenous infusion or nebulization of salbutamol for treatment of hyperkalemia in patients with chronic renal failure
PubMed ID: 8039040
Large acute K decreases in renal patients are clinically relevant to arrhythmia risk and cardiac monitoring.
- [Sotalol and quinidine/verapamil (Cordichin) in chronic atrial fibrillation--conversion and 12-month follow-up--a randomized comparison]
PubMed ID: 7846939
AF trial deliberately maintained highânormal K to minimize proâarrhythmic risk â direct clinical linkage between K levels and rhythm stability.
- Effect of almokalant, a selective potassium channel blocker, on the termination and inducibility of paroxysmal supraventricular tachycardias: a study in patients with Wolff-Parkinson-White syndrome and atrioventricular nodal reentrant tachycardia. Almokalant PSVT Study Group
PubMed ID: 7475043
Almokalant (K+ channel blocker) dose-dependently increased termination of arrhythmiasâdemonstrates K+ current importance in rhythm control.
- Effect of d-sotalol on mortality in patients with left ventricular dysfunction after recent and remote myocardial infarction. The SWORD Investigators. Survival With Oral d-Sotalol
PubMed ID: 8691967
Large randomized trial where a potassium-channel blocker increased arrhythmic deathsâstrong evidence potassium-channel/level impacts rhythm.
- Treatment of hyperkalaemia by altering the transcellular gradient in patients with renal failure: effect of various therapeutic approaches
PubMed ID: 9487416
Effective treatments for hyperkalemia in renal failure are clinically important to protect cardiac function from high K+.
- Ritodrine- and terbutaline-induced hypokalemia in preterm labor: mechanisms and consequences
PubMed ID: 9186877
Rapid, marked plasma K decreases with ritodrine/terbutaline linked to arrhythmiasâstrongly implicates K+ in heartbeat regulation.
- [Complex ventricular arrhythmias and carvedilol: efficacy in hemodialyzed uremic patients]
PubMed ID: 9675959
Carvedilol reduced ventricular arrhythmias in dialysis patients; K handling discussed as mechanism â moderate-strong cardiac relevance.
- Beta 2-agonists administered by a dry powder inhaler can be used in acute asthma
PubMed ID: 9616507
Comparative inhaler study documented a larger drop in serum potassium with one device and reports of lung/FEV1 changes; shows potassium shifts that can affect cardiac function risk.
- Ethnic differences in response to non-selective beta-blockade among racial groups in Malaysia
PubMed ID: 10839470
Ethnic differences in potassium responses to propranolol during exercise imply K changes can influence cardiovascular responses.
- Low-dose levalbuterol in children with asthma: safety and efficacy in comparison with placebo and racemic albuterol
PubMed ID: 11742271
Bronchodilators in children caused modest K+ drops (â0.3 to â0.6 mEq/L) â relevant to arrhythmic risk via K+ changes.
- Standard dose of inhaled albuterol significantly increases QT dispersion compared to low dose of albuterol plus ipratropium bromide therapy in moderate to severe acute asthma attacks in children
PubMed ID: 11737740
Standardâdose nebulized albuterol markedly increased QT dispersion (electrical instability) despite stable potassium â strong cardiac electrophysiology finding.
- Clinical impact of histidine-ketoglutarate-tryptophan (HTK) cardioplegic solution on the perioperative period in open heart surgery patients
PubMed ID: 11440787
HTK cardioplegia reduced postoperative arrhythmias and inotrope needs â cardiac protection though potassium specifics not reported.
- Efficacy of esmolol as a myocardial protective agent during continuous retrograde blood cardioplegia
PubMed ID: 12771874
Study compared potassium cardioplegia vs esmolol; potassium-containing solution associated with higher myocardial O2 consumption and NO release â directly relevant to cardiac effects of K.
- Effects of nicorandil on cardiac sympathetic nerve activity after reperfusion therapy in patients with first anterior acute myocardial infarction
PubMed ID: 15791442
K-ATP channel opener nicorandil improved cardiac sympathetic markers and remodelingârelevant to K-channel physiology and heart function.
- Glucose-insulin-potassium and tri-iodothyronine individually improve hemodynamic performance and are associated with reduced troponin I release after on-pump coronary artery bypass grafting
PubMed ID: 16820580
GIK (contains K) improved early hemodynamics and reduced troponin after CABGâimplicates K-containing therapy in supporting acute cardiac function.
- Acute beta-adrenoceptor blockade improves efficacy of ibutilide in conversion of atrial fibrillation with a rapid ventricular rate
PubMed ID: 18987127
Study of antiarrhythmic strategy changed cardioversion rates and QTc; although not directly measuring potassium, it informs cardiac electrophysiology context.
- Levosalbutamol vs racemic salbutamol in the treatment of acute exacerbation of asthma
PubMed ID: 20012785
Racemic salbutamol caused significant hypokalemia and tachycardia in childrenâillustrates how K changes influence cardiac electrophysiology and rhythm.
- Impact of alcohol habits and smoking on the risk of new-onset atrial fibrillation in hypertensive patients with ECG left ventricular hypertrophy: the LIFE study
PubMed ID: 22070095
In a large hypertensive cohort adjustment for serum potassium attenuated the alcoholâAF association, implicating K in atrial rhythm regulation.
- The relationship of electrocardiographic left ventricular hypertrophy to decreased serum potassium
PubMed ID: 22243363
Large treatedâhypertensive cohort: lower serum K associated with greater ECG evidence of LVH, implicating potassium status in cardiac structure/function.
- A nutrient-wide association study on blood pressure
PubMed ID: 23093587
Population link between Na/K ratio and BP has downstream relevance to cardiac load and function.
- Role of terminal warm blood cardioplegia in complex congenital heart surgery
PubMed ID: 29448828
Hyperkalemic cardioplegia strategies (terminal warm blood solution) reduced postoperative arrhythmiasâdirect demonstration that highâK solutions regulate cardiac electrical activity during surgery.
- Comparative Analysis of Myocardial Protection with HTK Solution and Hypothermic Hyperkalemic Blood Solution in the Correction of Acyanogenic Congenital Cardiopathies - A Randomized Study
PubMed ID: 31310464
HTK vs hyperkalemic blood cardioplegia comparisons show Kâbased strategies arrest and protect the heartâdirectly relevant to electrical/functional regulation.
- Role of del Nido Cardioplegia Solution in Prolonged Aortic Cross-clamp Cardiac Surgery: A Prospective Study
PubMed ID: 39730296
Del Nido vs Buckberg in prolonged crossâclamp surgery showed differences in postoperative atrial fibrillation and troponin in subgroups â indicates potassiumâcontaining cardioplegia influences postoperative arrhythmia outcomes (contextual).
- Buckberg versus Del Nido in isolated aortic valve replacement: a prospective, two-centre, randomized trial
PubMed ID: 40065513
Del Nido cardioplegia (potassiumâcontaining) was associated with substantially higher rates of spontaneous rhythm and lower VF after crossâclamp removal â strong perioperative evidence that potassiumâcontaining cardioplegia affects cardiac rhythm restoration.
- Effect of high potassium diet on endothelial function
PubMed ID: 24875671
HigherâK dietary intervention improved flowâmediated dilation (endothelial function) and reduced Eâselectin, supporting vascular/heart health mechanisms.
- University of Wisconsin solution versus crystalloid cardioplegia for human donor heart preservation. A randomized blinded prospective clinical trial
PubMed ID: 1735983
Highâpotassium preservation solution for donor hearts improved rhythm recovery and enzyme markers â supports myocardial protection/heart function in transplantation context.
- Amino acid-enriched glucose-insulin-potassium infusion improves hemodynamic function after coronary bypass surgery. A double-blind study in patients with unstable angina and/or compromised left ventricular function
PubMed ID: 7787408
GIK infusion (containing potassium) produced substantial, significant improvements in cardiac index and stroke work in CABG patients â direct benefit to cardiac function.
- Effect of treatment with magnesium and potassium on mortality and reinfarction rate of patients with suspected acute myocardial infarction
PubMed ID: 8738859
Large randomized trial: early potassium or magnesium infusion in suspected AMI associated with fewer cardiac events and deaths over 2 years â strong clinical cardiac benefit.
- Effect of cold blood cardioplegia enriched with potassium-magnesium aspartate during coronary artery bypass grafting
PubMed ID: 17043614
Potassiumâmagnesium aspartate cardioplegia shortened arrest time, improved return to rhythm and reduced AF and troponin â strong direct cardiac benefit from a potassiumâcontaining formulation.
- [Clinical investigation of the protective effects of potassium magnesium aspartate against arrhythmia and its possible anti-oxidative mechanism]
PubMed ID: 17996133
Potassiumâmagnesium aspartate improved oxidative stress markers and dramatically reduced premature beats in coronary disease patients â directly supports heart rhythm/function.
- Warm blood hyperkalaemic reperfusion ('hot shot') prevents myocardial substrate derangement in patients undergoing coronary artery bypass surgery
PubMed ID: 9663539
Hyperkalaemic reperfusion preserved myocardial ATP and reduced metabolic derangement after crossâclamp release.
- Cardioprotection by opening of the K(ATP) channel in unstable angina. Is this a clinical manifestation of myocardial preconditioning? Results of a randomized study with nicorandil. CESAR 2 investigation. Clinical European studies in angina and revascularization
PubMed ID: 10075141
Nicorandil reduced silent ischemia and arrhythmias in unstable angina â direct cardiac benefit.
- A clinical comparative study between crystalloid and blood-based St Thomas' hospital cardioplegic solution
PubMed ID: 10077377
Blood cardioplegia preserved myocardial energy stores and improved rhythm/functional recovery after surgery.
- Intravenous nicorandil can preserve microvascular integrity and myocardial viability in patients with reperfused anterior wall myocardial infarction
PubMed ID: 10080465
IV nicorandil around PCI reduced no-reflow, heart failure, arrhythmias and improved regional LV function.
- Postrevascularization recovery of fatty acid utilization in ischemic myocardium: a randomized clinical trial of potassium channel opener
PubMed ID: 10958273
Nicorandil improved recovery of myocardial fatty acid utilization and LV function after PTCA.
- Dose-dependent prophylactic effect of nicorandil, an ATP-sensitive potassium channel opener, on intra-operative myocardial ischaemia in patients undergoing major abdominal surgery
PubMed ID: 11573520
Perioperative nicorandil markedly reduced intraoperative ischemia in a large randomized trial.
- Cold blood versus cold crystalloid cardioplegia for repair of ventricular septal defects in pediatric heart surgery: a randomized controlled trial
PubMed ID: 12173840
In children undergoing VSD repair, blood cardioplegia caused less ATP loss and substantially lower troponin release than crystalloid.
- Differential effect of glyburide (glibenclamide) and metformin on QT dispersion: a potential adenosine triphosphate sensitive K+ channel effect
PubMed ID: 12423711
Glyburide (KATP blocker) markedly increased QT intervals and dispersion â indicates KATP modulation affects repolarization/arrhythmic risk (negative effect).
- Loss of preconditioning by attenuated activation of myocardial ATP-sensitive potassium channels in elderly patients undergoing coronary angioplasty
PubMed ID: 11804989
Ischemic preconditioning reduced ischemic markers during angioplasty; nicorandil restored protection in elderly patients.
- Effect of intracoronary nicorandil administration on preventing no-reflow/slow flow phenomenon during rotational atherectomy
PubMed ID: 12499617
Intracoronary nicorandil markedly reduced noâreflow/slowâflow during atherectomy vs verapamil.
- Opening of K(ATP) channel attenuates the increase in QT dispersion produced by the first balloon inflation during coronary angioplasty
PubMed ID: 12030342
IV nicorandil reduced QT dispersion and ventricular ectopy during angioplasty versus placebo.
- Pharmacologic preconditioning of estrogen by activation of the myocardial adenosine triphosphate-sensitive potassium channel in patients undergoing coronary angioplasty
PubMed ID: 11869855
Estrogen produced cardioprotection that was KATPâdependent â implicates KATP biology in myocardial protection.
- Levosimendan in patients with low-output heart failure: lessons from the LIDO trial
PubMed ID: 14635368
Levosimendan (KATPâmodulating inotrope) improved hemodynamics and reduced mortality in severe heart failure.
- Effects of sulfonylurea hypoglycemic agents and adenosine triphosphate dependent potassium channel antagonists on ventricular arrhythmias in patients with decompensated heart failure
PubMed ID: 12765455
Observational study of sulfonylureas (KATP blockers) associated with fewer ventricular arrhythmias in decompensated HF â implicates KATP/ K+ channel physiology relevant to cardiac electrical stability (drug effect, not K supplement).
- Impact of a single intravenous administration of nicorandil before reperfusion in patients with ST-segment-elevation myocardial infarction
PubMed ID: 16116055
Large randomized nicorandil study showed reduced longâterm cardiac events and better postâMI perfusionâstrong cardiac benefit (drug mechanism, indirect for K supplementation).
- Long-term nicorandil therapy improves cardiac sympathetic nerve activity after reperfusion therapy in patients with first acute myocardial infarction
PubMed ID: 17873142
Longâterm nicorandil improved cardiac sympathetic imaging and remodeling after first MI â direct improvement in measures of cardiac function/remodeling.
- High-dose glucose-insulin-potassium treatment reduces myocardial apoptosis in patients with acute myocardial infarction
PubMed ID: 15733070
Highâdose glucoseâinsulinâpotassium (GIK) in AMI altered apoptosis marker sFas, suggesting myocardial protective effects (but confounded by glucose/insulin).
- [Effects of high dose glucose-insulin-potassium infusion on myocardial injury and serum sFas/ sFasL concentration in acute myocardial infarction]
PubMed ID: 16080838
Related GIK report with decreased sFas at 14 days â supports possible myocardial cellular benefit from GIK regimen containing K.
- Effect of individualised dietary advice for weight loss supplemented with walnuts on blood pressure: the HealthTrack study
PubMed ID: 29559724
Dietary increases in urinary potassium associated with greater BP reductionâBP control supports cardiovascular health; evidence is associative.
- ACE inhibition or angiotensin receptor blockade: impact on potassium in renal failure. VAL-K Study Group
PubMed ID: 11044229
Crossover in reducedâGFR patients showed ACE inhibitor raised serum potassium more than valsartan in lowâGFR subgroupâserum K changes directly influence cardiac electrophysiology and arrhythmia risk (safety implication).
- Reduced Risk of Hyperkalemia During Treatment of Heart Failure With Mineralocorticoid Receptor Antagonists by Use of Sacubitril/Valsartan Compared With Enalapril: A Secondary Analysis of the PARADIGM-HF Trial
PubMed ID: 27842179
PARADIGM-HF subanalysis: sacubitril/valsartan associated with fewer severe hyperkalaemia events vs enalapril â important for cardiac patients.
- Serum potassium in the PARADIGM-HF trial
PubMed ID: 32809261
Large HF trial tracked K and showed fewer highâK occasions with sacubitrilâvalsartan, directly pertinent to cardiac safety/function.
- Serum potassium and outcomes in heart failure with preserved ejection fraction: a post-hoc analysis of the PARAGON-HF trial
PubMed ID: 33609066
Large analysis found both low and high K linked to worse cardiovascular outcomes in HFpEF â strongly relevant to heart function.
- Magnesium and potassium administration in acute myocardial infarction
PubMed ID: 2095163
IV potassium (with/without magnesium) after acute MI reduced complications and raised serum K â direct cardiac benefit.
- Dietary modulators of blood pressure in hypertension
PubMed ID: 2364920
Dietary increase in serum potassium (â+0.86 mEq/L) is clinically relevant to cardiac repolarization and rhythm stability.
- Nutrient intake and blood pressure in the Dietary Intervention Study in Children
PubMed ID: 9095079
Dietary potassium inversely associated with BP, which benefits cardiac workload and heart health â observational support.
- Acetate hemodialysis does not increase the frequency of arrhythmia in hemodialysis patients
PubMed ID: 9754465
Acetate hemodialysis caused a large acute reduction in serum potassium (â32%), an effect that is highly relevant to cardiac electrophysiology and arrhythmia risk.
- Prominent ECG repolarization changes associated with intracoronary infusion of normal saline: comparisons with alternate coronary catheter flush solutions
PubMed ID: 10559813
Potassiumâcontaining intracoronary flushes markedly reduced QTc/Tâwave repolarization abnormalities vs salineâstrong effect on cardiac electrical stability.
- Blood pressure responses to high-calcium skim milk and potassium-enriched high-calcium skim milk
PubMed ID: 10994765
BP reductions from potassiumâenriched milk support cardiovascular function indirectly (dietary K intervention with measurable cardiovascular effect).
- Electrolytic disturbances and colonoscopy: bowel lavage solutions, age and procedure
PubMed ID: 14972007
Clinical documentation that bowel prep methods can cause hypokalemia â an arrhythmia/heartâfunction risk factor; supports importance of maintaining K.
- Cardiovascular outcomes in the African American Study of Kidney Disease and Hypertension (AASK) Trial
PubMed ID: 17059993
Higher urine sodiumâpotassium ratio independently associated with increased cardiovascular riskâimplicates potassium balance in heart health.
- Family-based randomized trial to detect effects on blood pressure of a salt substitute containing potassium and calcium in hypertensive adolescents
PubMed ID: 19661927
Potassiumâcontaining salt substitute lowered BP in families, reducing cardiovascular risk burden.
- DASH lowers blood pressure in obese hypertensives beyond potassium, magnesium and fibre
PubMed ID: 19626043
DASH fruits/vegetables diet (higher K) improved vascular function and BPâsupportive of heart health.
- Compound ion salt, a novel low-sodium salt substitute: from animal study to community-based population trial
PubMed ID: 19661926
Salt substitute lowered BP in community trial, a change that benefits cardiovascular risk and heart function indirectly.
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
Potassium salts improved endothelial function and arterial complianceâdirect cardiovascular benefits relevant to heart function.
- Influence of dietary modifications on the blood pressure response to antihypertensive medication
PubMed ID: 20807467
BP lowering from a highâK diet can reduce cardiac workload and risk; study directly shows BP effects.
- Initial large-dose administration of modified St. Thomas' solution
PubMed ID: 24585900
Adding potassium to cardioplegia shortened reperfusion time and lowered CKâMB after aortic valve surgery â direct myocardial protection signal.
- Normokalemic nondepolarizing long-acting blood cardioplegia
PubMed ID: 28975821
Normokalemic longâacting cardioplegia provided similar myocardial protection with lower ILâ6 â potassium level was a component of the formulation.
- Calcium-Polystyrene Sulfonate Decreases Inter-Dialytic Hyperkalemia in Patients Undergoing Maintenance Hemodialysis: A Prospective, Randomized, Crossover Study
PubMed ID: 30109784
Potassium binder reduced ECG peaked T-waves frequency in dialysis patientsâdemonstrates effect on cardiac electrical manifestations of K.
- The periprocedural myocardial damage prevention during elective percutaneous coronary intervention as a result of pharmacological preconditioning with an oral form of nicorandil in patients with stable coronary artery disease. Pilot study
PubMed ID: 30701736
Nicorandil (K+ channel opener) before PCI reduced periâprocedural biomarker releaseâsupports myocardial protection via Kâchannel physiology.
- Effects of the Fluoroquinolones Moxifloxacin and Levofloxacin on the QT Subintervals: Sex Differences in Ventricular Repolarization
PubMed ID: 31637733
Drug-induced K+ channel (hERG) blockade studyâmechanistic cardiac electrophysiology with strong relevance to K+ channel physiology.
- Balanced forced-diuresis as a renal protective approach in cardiac surgery: Secondary outcomes of electrolyte changes
PubMed ID: 34414606
Perioperative forced diuresis required more K replacement but reduced AKI risk â important for perioperative cardiac patient management.
- Effects of dialysate potassium concentration of 3.0 mmol/l with sodium zirconium cyclosilicate on dialysis-free days versus dialysate potassium concentration of 2.0 mmol/l alone on rates of cardiac arrhythmias in hemodialysis patients with hyperkalemia
PubMed ID: 39490411
In dialysis patients better serum K control with higher dialysate K + SZC markedly reduced AF and other arrhythmias â strong heart-function evidence.
- Effect of sodium zirconium cyclosilicate on hyperkalemia after parathyroidectomy in secondary hyperparathyroidism patients with maintenance hemodialysis: A randomized trial
PubMed ID: 39969301
SZC prevented large postoperative rises in serum potassium in dialysis patients, directly reducing arrhythmia/hyperkalemia cardiac risk.
- Spironolactone vs Amiloride for Resistant Hypertension: A Randomized Clinical Trial
PubMed ID: 40366680
BP lowering in resistant hypertension has cardiovascular implications; amiloride's effect informs heart-related therapy (potassium-sparing considerations).
- Pharmacological study of the safety, efficacy, and potential of M201-A on paroxysmal and persistent atrial fibrillation
PubMed ID: 40768812
Atrialâselective potassium channel modulation prolonged atrial ERP â mechanistic evidence relevant to heartbeat regulation.
- Dietary intervention with a specific micronutrient combination for the treatment of patients with cardiac arrhythmias: the impact on insulin resistance and left ventricular function
PubMed ID: 30509185
Micronutrient tablet (including K) associated with reduced leftâventricular mass index â structural cardiac benefit linked to the intervention.
- Aldosterone inhibition limits collagen synthesis and progressive left ventricular enlargement after anterior myocardial infarction
PubMed ID: 11136485
Potassium canrenoate after MI reduced collagen synthesis and limited LV enlargement (improved postâMI remodeling; drug effect via Kâsparing aldosterone antagonism).
- Spironolactone has antiarrhythmic activity in ischaemic cardiac patients without cardiac failure
PubMed ID: 17921831
Spironolactone produced large reductions in ventricular extrasystoles (~75%) and QT shorteningâstrong effect on cardiac rhythm stability.
- Comparison of cardioprotection with crystalloid and blood cardioplegia in CABG patients
PubMed ID: 8305657
Blood cardioplegia (potassiumâcontaining) produced more spontaneous return of sinus rhythm vs crystalloid; directly relevant to regulation of cardiac rhythm in surgery.
- Continuous warm versus intermittent cold blood cardioplegia for coronary bypass surgery in patients with left ventricular dysfunction
PubMed ID: 7495583
Higher administered K associated with much higher spontaneous sinus rhythm recovery â direct electrophysiologic/arrhythmia relevance.
- Aortic valve replacement: better myocardial protection by cold or warm retrograde blood cardioplegia?
PubMed ID: 8793675
Warm BCP raised serum potassium intraoperatively â these K shifts directly influence cardiac conduction and excitability.
- Anti-inflammatory and profibrinolytic effect of insulin in acute ST-segment-elevation myocardial infarction
PubMed ID: 14757687
GIK in STEMI blunted inflammation and fibrinolytic changes; potassium was part of regimen and results are cardiacârelevant.
- Minimally-diluted blood cardioplegia supplemented with potassium and magnesium for combination of 'initial, continuous and intermittent bolus' administration
PubMed ID: 15118290
Minimallyâdiluted blood cardioplegia with added K/Mg improved arrest, reduced AF and lowered CKâMB â direct, strong cardiac benefit.
- The impact of glucose-insulin-potassium infusion in acute myocardial infarction on infarct size and left ventricular ejection fraction [ISRCTN56720616]
PubMed ID: 15932638
Large GIK trial (includes K) reduced proportion with severe LV dysfunction after MI â composite intervention but outcome relevant to heart function.
- Initial, continuous and intermittent bolus cardioplegia administration: efficacy of potassium-chloride and magnesium-sulfate as minimal additives for minimally-diluted blood cardioplegia
PubMed ID: 15758880
Duplicate of 15118290 â same strong evidence for K/Mg cardioplegia benefits.
- "Initial, continuous and intermittent bolus" administration of minimally-diluted blood cardioplegia supplemented with potassium and magnesium for hypertrophied hearts
PubMed ID: 16926119
MiniâBCP with potassium/magnesium improved postoperative recovery, lower AF, lower CKâMB and better LVEF in hypertrophied heartsâdirect cardiac benefit.
- The myocardial protective effect of adenosine as an adjunct to intermittent blood cardioplegia during open heart surgery
PubMed ID: 19683936
Adjunct adenosine to highâK cardioplegia lowered cardiac injury/inflammation markersârelevant to myocardial protection in Kâcontaining solutions.
- Adenosine instead of supranormal potassium in cardioplegia: it is safe, efficient, and reduces the incidence of postoperative atrial fibrillation. A randomized clinical trial
PubMed ID: 22964356
Replacing supranormal K+ in cardioplegia with adenosine reduced postoperative atrial fibrillationâdemonstrates potassium's role in arrhythmogenesis.
- Myocardial protection by glucose-insulin-potassium in acute coronary syndrome patients undergoing urgent multivessel off-pump coronary artery bypass surgery
PubMed ID: 22986417
Perioperative GIK (including potassium) reduced myocardial injury markers in urgent offâpump CABGâdirect cardioprotective evidence.
- Comparative Effects of Blood and Crystalloid Cardioplegia on Cellular Injury and Oxidative Stress in Cardiovascular Surgery
PubMed ID: 30158392
Cardioplegia solutions (potassium-rich) used in CABGâstudy reports myocardial injury/oxidative markers in context of K-containing cardioplegia (direct cardiac context).
- Phase 2 Trial of Baxdrostat for Treatment-Resistant Hypertension
PubMed ID: 36342143
Baxdrostat produced large BP reductions (cardiovascular effect) and occasional marked potassium rises that are relevant to cardiac safety.
- Patiromer for the management of hyperkalemia in heart failure with reduced ejection fraction: the DIAMOND trial
PubMed ID: 35900838
Patiromer lowered hyperkalaemia risk and helped maintain RAAS/MRA therapy, important for cardiac patients' outcomes and safety.
- Short-Term Changes in Serum Potassium and the Risk of Subsequent Vascular Events and Mortality: Results from a Randomized Controlled Trial of ACE Inhibitors
PubMed ID: 35896277
Large ACE-inhibitor dataset documented short-term potassium rises and cardiovascular outcomes; potassium changes can affect arrhythmia risk.
- Comparative antiplatelet effects of chlorthalidone and hydrochlorothiazide
PubMed ID: 36067089
Thiazideâinduced hypokalemia demonstrated â low K affects cardiac repolarization and can predispose to arrhythmias (evidence of risk).
- Ultrasound dynamic monitoring of IVCD to guide application of CRRT in patients with renal failure combined with acute heart failure
PubMed ID: 35982101
Ultrasoundâguided CRRT produced faster heartâfailure improvement (NTâproBNP fall) while notably changing serum K+ â links K management with heart failure outcomes.
- Cost-Effectiveness of a Household Salt Substitution Intervention: Findings From 20 995 Participants of the Salt Substitute and Stroke Study
PubMed ID: 35311346
Population trial of Kâenriched salt reduced stroke (cardiovascular outcome) and likely improved cardiovascular risk â substantial relevance to heart health.
- A new and more effective feticide technique in late termination of pregnancy: potassium chloride injection into the interventricular septum of the fetal heart
PubMed ID: 36271257
Direct intervention using KCl to induce fetal cardiac asystole demonstrates potent and immediate effects of potassium on cardiac electrical activity (strong mechanistic link).
- Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial
PubMed ID: 37055566
Saltâsubstitute trial lowered BP and CV events, implying improved population-level cardiac outcomes associated with increased dietary K.
- Inhibition of the K(Ca)2 potassium channel in atrial fibrillation: a randomized phase 2 trial
PubMed ID: 38092897
K(Ca)2 inhibitor cardioverted AFâmechanistic relation to cardiac K channels and rhythm (drug study, not dietary K).
- The effect of increased plasma potassium on myocardial function; a randomized POTCAST substudy
PubMed ID: 37470856
Randomized intervention raising blood K to highânormal improved echocardiographic systolic and diastolic indicesâdirect cardiac benefit.
- DIALIZE China: A Phase IIIb, Randomized, Placebo-Controlled Study to Reduce Predialysis Hyperkalemia With Sodium Zirconium Cyclosilicate in Chinese Patients
PubMed ID: 37385905
By maintaining predialysis K in dialysis patients, SZC addresses a major modifiable determinant of arrhythmic risk.
- Time to clinical benefit of eplerenone among patients with heart failure and reduced ejection fraction: A subgroups analysis from the EMPHASIS-HF trial
PubMed ID: 37370197
Eplerenone impacts potassium homeostasis and reduced HF events quickly â relevant to cardiac function though not a potassium-supplement trial.
- Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial
PubMed ID: 39215972
Large RCT directly testing potassium supplementation thresholds after CABG and showing noninferior AF rates â directly addresses K+ management and cardiac rhythm.
- Sodium Zirconium Cyclosilicate for Management of Hyperkalemia During Spironolactone Optimization in Patients With Heart Failure
PubMed ID: 39566872
SZC prevented hyperkalemia and allowed patients to remain on guideline spironolactone doses â directly relevant to optimizing heart-failure therapy.
- Patiromer for Heart Failure Medication Optimization in Patients With Current or Past Hyperkalemia: DIAMOND Subanalysis
PubMed ID: 39340493
Patiromer reduced serum K and enabled maintenance of RAASi in HF patientsâindirect but clinically important support of heart therapy and function.
- HARMONIZE Asia: A Phase III Randomized Study to Investigate the Efficacy and Safety of Sodium Zirconium Cyclosilicate in Patients with Hyperkalemia in China
PubMed ID: 39112102
SZC reduced recurrent hyperkalaemia, a key arrhythmia risk factorâstrong indirect evidence for promoting cardiac electrical stability.
- Patiromer-Facilitated Renin-Angiotensin-Aldosterone System Inhibitor Utilization in Patients with Heart Failure with or without Comorbid Chronic Kidney Disease: Subgroup Analysis of DIAMOND Randomized Trial
PubMed ID: 39159624
Patiromer lowered serum K+, reduced hyperkalemia events, and helped maintain RAASi/MRA dosing in heart-failure patients â important for heart function.
- Efficacy and safety of patiromer for non-dialysis and dialysis patients with hyperkalemia: the randomized, placebo-controlled and long-term study
PubMed ID: 39580768
Patiromer lowers serum K and allowed continuation of RAAS inhibitorsâclinically important for preserving guideline heart failure therapy and reducing hyperkalemia risk.
- The effect of salt substitution on frequency and severity of headache: results from the SSaSS cluster-randomised controlled trial of 20,995 participants
PubMed ID: 38402353
Kâenriched salt increased urinary K and modestly lowered BPâexpected to benefit cardiac function and reduce CV risk.
- Secondary Analysis of the Salt Substitute and Stroke Study (SSaSS): Effects of Potassium-Enriched Salt on Cardiac Outcomes
PubMed ID: 38465623
Potassiumâenriched salt trial in highârisk adults reduced acute coronary events and arrhythmiasâdirect cardiac outcome benefits linked to increased K intake.
- Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
PubMed ID: 40879429
Randomized trial intentionally raised plasma K into highânormal range and substantially reduced ventricular arrhythmias/hospitalisations/death.
- Salt Substitution and Recurrent Stroke and Death: A Randomized Clinical Trial
PubMed ID: 39908026
Salt substitute lowered BP and reduced stroke/death â cardiovascular benefit related to potassium enrichment.
- Sodium-Glucose Cotransporter 2 Inhibitor With and Without an Aldosterone Antagonist for Heart Failure With Preserved Ejection Fraction: The SOGALDI-PEF Trial
PubMed ID: 40738559
Adding spironolactone raised K and reduced NTâproBNP (heartâfailure biomarker) â indicates interaction between K changes and heart biomarkers.
- Efficacy and safety of patiromer for hyperkalemia: a randomized, placebo-controlled phase 3 study
PubMed ID: 39976633
Patiromer maintained normokalemia and enabled RAAS inhibitor continuation â supports heart failure/heart protection indirectly.
- Hypokalaemia in patients with type 2 diabetes and chronic kidney disease: the effect of finerenone-a FIDELITY analysis
PubMed ID: 39380152
Finerenone program showed CV outcome benefit and potassium management â supportive evidence linking K handling and cardiac outcomes.
- Hypokalaemia and atrial fibrillation detected by implanted loop recorders
PubMed ID: 40884202
Clear large study: lower plasma K strongly associated with higher odds of atrial fibrillation â direct link between K levels and arrhythmia risk.
- Sodium zirconium cyclosilicate versus sodium polystyrene sulfonate for treatment of hyperkalemia in hemodialysis patients: a randomized clinical trial
PubMed ID: 40329202
Rapid correction of hyperkalemia in dialysis patients with SZC preserves cardiac safety by normalizing serum K â direct clinical relevance.
- Effect of sodium-reduced potassium-enriched salt substitutes on stomach cancer: the Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 40264179
Potassium-enriched salt substitute trial reduced blood pressure and previously observed CV eventsâsupportive of cardiac benefit from increased dietary K.
- Effects of salt substitution on cumulative blood pressure: a secondary analysis of the SSaSS
PubMed ID: 40148710
Longâterm cluster RCT of K-rich salt substitute lowered cumulative BPâcardioprotective implications.
- Interplay of serum potassium and kidney function with finerenone in heart failure with mildly reduced or preserved ejection fraction: Findings from FINEARTS-HF
PubMed ID: 41039732
Large HF dataset showed baseline potassium influenced event risk and interaction with therapiesâdirectly relevant to cardiac outcomes and K management.
- Canagliflozin reduces oral loop diuretic intensification in patients with type 2 diabetes: A participant-level pooled analysis of the CANVAS and CREDENCE trials
PubMed ID: 39844714
Canagliflozin pooled analysis reduced HF events and diuretic escalationâindirectly relevant to cardiac function and electrolyte handling.
- Changes in natriuretic peptide levels following patiromer-enabled optimization of medical therapy in heart failure: A post hoc analysis of the DIAMOND study
PubMed ID: 40607983
Patiromer-facilitated RAASi optimisation reduced NT-proBNP during runâinâimportant for heart failure management while controlling K.
- Aprocitentan in Patients With Chronic Kidney Disease and Resistant Hypertension
PubMed ID: 41363010
Aprocitentan substantially reduced BP and albuminuria with stable serum potassiumâsupports cardiorenal therapy tolerability and function.
- Controlled potassium reduction using dialysate profiling in hyperkalemic hemodialysis patients: A randomized study
PubMed ID: 41185428
Dialysate K profiling lowered postâdialysis K without increased arrhythmiasâdirectly relevant to cardiac rhythm regulation via K control.
- Spot urinary sodium-guided titration of intravenous diuretic therapy in acute heart failure: a pilot randomized controlled trial
PubMed ID: 38632053
UNaâguided diuretic strategy in acute HF reduced hypokalemia and AKI while improving decongestion â important for acute cardiac care and electrolyte safety.
- Association of serum potassium time in target range with cardiovascular outcomes in patients with HFpEF
PubMed ID: 40841122
TOPCAT analysis: more time with serum K in target range (4.3â4.9 mmol/L) strongly associated with lower CV events and mortality â directly links K+ control to cardiovascular outcomes.
- AI-enabled electrocardiogram alert for potassium imbalance treatment: a pragmatic randomized controlled trial
PubMed ID: 41507124
AIâECG improved early detection of abnormal potassium and sped earlier treatment for hyperkalemiaâa clinically relevant step in preventing potassiumârelated arrhythmias.
- Eplerenone for early cardiomyopathy in Duchenne muscular dystrophy: a randomised, double-blind, placebo-controlled trial
PubMed ID: 25554404
Eplerenone added to background therapy slowed cardiomyopathy progression in Duchenne muscular dystrophy without clinically important hyperkalemia â relevant to K monitoring and cardiac benefit.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Oral potassium reliably restores serum K, crucial for normal cardiac electrophysiology and arrhythmia prevention.
- Effects of hydrochlorothiazide, diltiazem and enalapril on mononuclear cell sodium and magnesium levels in systemic hypertension
PubMed ID: 1951126
Intracellular cation depletion with thiazides implicates potassium in cardiac cellular electrophysiology.
- Diuretics, serum and intracellular electrolyte levels, and ventricular arrhythmias in hypertensive men
PubMed ID: 1735925
In hypertensive men, thiazide-induced hypokalemia was associated with more ventricular arrhythmias; potassium supplementation prevented severe hypokalemia, linking K to cardiac safety.
- Left ventricular mass, serum electrolyte levels and cardiac arrhythmias in patients with mild hypertension treated with cilazapril or hydrochlorothiazide
PubMed ID: 7509325
Thiazide-induced hypokalemia observed in hypertensivesâcardiac ectopy outcomes improved when K loss avoided, linking potassium to cardiac function.
- Electrolyte modelling in haemodialysis--potassium
PubMed ID: 8803994
Altering dialysis potassium gradients reduced dialysisâassociated premature ventricular complexes â clear evidence K+ gradient management affects cardiac rhythm.
- Anti-digoxin Fab fragments in cardiotoxicity induced by ingestion of yellow oleander: a randomised controlled trial
PubMed ID: 10768435
Antiâdigoxin Fab therapy in oleander poisoning caused a notable fall in serum K+ accompanied by rhythm improvement â shows the relationship between K+ and lifeâthreatening arrhythmias (context of toxin reversal).
- Telmisartan plus hydrochlorothiazide versus telmisartan or hydrochlorothiazide monotherapy in patients with mild to moderate hypertension: a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial
PubMed ID: 11440284
Combination therapy protected K while providing strong BP reductionâcardiovascular relevance.
- Electrolyte intake and nonpharmacologic blood pressure control
PubMed ID: 12495832
Higher K intake associated with better BP controlâcardiac function implication.
- The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers
PubMed ID: 12844375
KCl supplementation meaningfully lowered BP, a major determinant of cardiac loadâsupports cardiovascular health.
- Intravenous phosphate in the intensive care unit: more aggressive repletion regimens for moderate and severe hypophosphatemia
PubMed ID: 12845429
IV potassium phosphate can raise serum K+ (documented hyperkalemia), which is directly relevant to cardiac conduction/arrhythmia risk.
- The effect of a dietary supplement of potassium chloride or potassium citrate on blood pressure in predominantly normotensive volunteers
PubMed ID: 18053306
Oral K salts lowered BP in humansâbeneficial for cardiovascular risk and heart function indirectly; potassium also electrically important for myocardium.
- Patients with complex arrhythmias during and after haemodialysis suffer from different regimens of potassium removal
PubMed ID: 18065796
Dialysate K profiling influenced plasma K and substantially reduced premature ventricular contractions in susceptible dialysis patientsâdirect rhythm-regulation impact.
- Is a priming dose of insulin necessary in a low-dose insulin protocol for the treatment of diabetic ketoacidosis?
PubMed ID: 18694978
DKA regimens monitored potassium closely; appropriate K management is central to safe cardiac electrical stability during treatment.
- Addition of angiotensin receptor blockade or mineralocorticoid antagonism to maximal angiotensin-converting enzyme inhibition in diabetic nephropathy
PubMed ID: 19926893
Spironolactone raised serum potassium substantially, an effect with direct implications for cardiac conduction and arrhythmia risk.
- Glucose-insulin-potassium reduces the incidence of low cardiac output episodes after aortic valve replacement for aortic stenosis in patients with left ventricular hypertrophy: results from the Hypertrophy, Insulin, Glucose, and Electrolytes (HINGE) trial
PubMed ID: 21200004
GIK infusion (contains potassium) markedly reduced low cardiac output events post aortic valve surgeryâstrong clinical cardiac outcome though multi-component intervention prevents attributing all effect to K alone.
- Acute hyperkalemia associated with inhalation of a potent ENaC antagonist: Phase 1 trial of GS-9411
PubMed ID: 23905576
Frequent transient hyperkalemia events after ENaC blocker demonstrate potent effects of potassium shifts on cardiac electrophysiology and the need for monitoring.
- Potassium kinetics during hemodialysis
PubMed ID: 25091596
Hemodialysis potassium kinetics inform safe management of serum K+ â critical for cardiac electrical stability in dialysis patients.
- Half-molar sodium lactate infusion improves cardiac performance in acute heart failure: a pilot randomised controlled clinical trial
PubMed ID: 24666826
In acute heart failure sodiumâlactate increased cardiac output but caused a clinically important drop in serum potassium â directly ties potassium shifts to cardiac physiology in acutely decompensated patients.
- Effect of sodium zirconium cyclosilicate on potassium lowering for 28 days among outpatients with hyperkalemia: the HARMONIZE randomized clinical trial
PubMed ID: 25402495
Rapid normalization of serum K+ in hyperkalemic patients reduces risk of K+âmediated arrhythmias and helps stabilize cardiac electrophysiology.
- Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial
PubMed ID: 30473139
Spironolactone in dialysis patients increased hyperkalemia events and hypotension at higher doses â hyperkalemia directly impacts cardiac electrophysiology and arrhythmia risk.
- Efficacy of Furosemide, Oral Sodium Chloride, and Fluid Restriction for Treatment of Syndrome of Inappropriate Antidiuresis (SIAD): An Open-label Randomized Controlled Study (The EFFUSE-FLUID Trial)
PubMed ID: 32199708
Furosemide in SIAD was associated with increased hypokalemiaâhypokalemia is a known arrhythmia risk, so this study highlights clinical importance of K for heartbeat regulation.
- Interim effects of salt substitution on urinary electrolytes and blood pressure in the China Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 31986290
Population reduction in systolic BP from increased potassium intake is cardioprotective and supports heart health at the population level.
- Effect of a plant-based bioequivalent inorganic nitrate (NO(3)(-)) complex with vitamins, antioxidants and phytophenol rich food extracts in hypertensive individuals - A randomized, double-blind, placebo-controlled study
PubMed ID: 33183558
Nitrate formulation (with potassium nitrate) improved endothelial function and lowered BPâbeneficial for cardiovascular function (nitrate effect).
- Short-Term RCT of Increased Dietary Potassium from Potato or Potassium Gluconate: Effect on Blood Pressure, Microcirculation, and Potassium and Sodium Retention in Pre-Hypertensive-to-Hypertensive Adults
PubMed ID: 34064968
Dietary potassium trial reduced systolic BP which is cardioprotective; K retention increased â moderate evidence for cardiovascular benefit.
- Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension
PubMed ID: 40267417
Lorundrostat lowered BP but led to episodes of marked hyperkalemiaâdemonstrates how elevated K+ can threaten cardiac rhythm.
- The randomized DIALIZE-Outcomes trial evaluated sodium zirconium cyclosilicate in hemodialysis
PubMed ID: 40618849
SZC maintained normokalemia in dialysis patients; stable K+ is critical to preventing arrhythmias and regulating cardiac rhythm.
- Net clinical benefit of patiromer for acute hyperkalemia: a post-hoc analysis of the reduce trial
PubMed ID: 41178555
Patiromer (K binder) rapidly lowered serum K in hyperkalemia â directly relevant to preventing K-driven cardiac arrhythmias (treatment context).
- Dietary intervention with Okinawan vegetables increased circulating endothelial progenitor cells in healthy young women
PubMed ID: 19013573
Vegetable-induced urinary K increases accompanied by increased endothelial progenitor cells, suggesting vascular/heart benefit.
- Dietary strategies for risk-factor modification to prevent cardiovascular diseases
PubMed ID: 1666320
Cardioprotective diet (higher K foods) associated with fewer cardiovascular events.
- Predicting erythropoietin resistance in hemodialysis patients with type 2 diabetes
PubMed ID: 23521816
Higher serum potassium in dialysis patients associated with increased CV events and mortality â directly links K levels and cardiovascular outcomes.
- Antiarrhythmic effects of increasing the daily intake of magnesium and potassium in patients with frequent ventricular arrhythmias. Magnesium in Cardiac Arrhythmias (MAGICA) Investigators
PubMed ID: 9120155
Randomized trial: modest oral potassium+magnesium supplementation reduced ventricular premature beats by ~17%âdirect heartâfunction benefit.
- Intravenous amiodarone for cardioversion of recent-onset atrial fibrillation
PubMed ID: 12862299
Large trial where GIKM was background; adding amiodarone greatly increased cardioversion ratesâpotassium (in GIKM) is part of rhythm-management regimen.
- Effects of salt substitute on pulse wave analysis among individuals at high cardiovascular risk in rural China: a randomized controlled trial
PubMed ID: 19262499
Salt substitute lowered central systolic BP and some arterial stiffness measures, implying improved vascular/heart load (moderate direct relevance).
- The impact and safety of preoperative oral or intravenous carbohydrate administration versus fasting in colorectal surgery--a randomized controlled trial
PubMed ID: 20177856
Preoperative carbohydrate-mineral solutions (include K) improved postoperative LV systolic/diastolic function vs fasting (multi-component intervention but showed cardiac improvement).
- Intravenous administration of magnesium and potassium solution lowers energy levels and increases success rates electrically cardioverting atrial fibrillation
PubMed ID: 21815963
IV potassium-magnesium pretreatment before cardioversion increased success and lowered energy requirement â direct clinical cardiac benefit of K (with Mg).
- Effects of intraoperative and early postoperative normal saline or Plasma-Lyte 148ÂŽ on hyperkalaemia in deceased donor renal transplantation: a double-blind randomized trial
PubMed ID: 29121282
Saline was associated with higher hyperkalaemia incidence and peak K vs PlasmaâLyte in transplant surgery, with more treatments required â direct evidence that K+ levels affect cardiac risk and management.
- Hypokalemia During Decongestion With Loop Diuretics and Hydrochlorothiazide, a Post Hoc Analysis of the CLOROTIC Trial
PubMed ID: 40590131
Hypokalemia risk with diuretic regimens has direct implications for cardiac stability and management â high relevance to supporting heart function via K management.
- Cardioprotective effect of intravenous nicorandil in patients with successful reperfusion for acute myocardial infarction
PubMed ID: 9583444
IV nicorandil given at reperfusion improved regional myocardial performanceâevidence for improved cardiac function via a K+âchannel opener (drug, indirect to K+ supplement).
- Potassium loading as adjunct treatment of repetitive ventricular arrhythmias
PubMed ID: 2357777
Direct trial of potassium supplementation in ventricular tachycardia patients (normokalemic) â negative for reducing arrhythmias but highly relevant to K and rhythm regulation.
- Treatment of hypertension in the elderly: I. Blood pressure and clinical changes. Results of a Department of Veterans Affairs Cooperative Study
PubMed ID: 2318517
Large trial documented frequent thiazide-induced hypokalemiaâa known arrhythmogenic risk, so maintaining K supports heart rhythm regulation.
- Increasing the dietary potassium intake reduces the need for antihypertensive medication
PubMed ID: 1929022
Improved BP control via dietary K likely reduces cardiovascular strain and need for medication, indirectly supporting heart function.
- Potassium supplementation versus bendrofluazide in mildly to moderately hypertensive Kenyans
PubMed ID: 1711614
Potassium supplementation lowered DBP comparably to diuretics, an effect expected to benefit cardiac function over time.
- Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group
PubMed ID: 8385183
Demonstrates thiazide-related K lowering â hypokalemia is a known mediator of arrhythmic risk (indirect inference).
- Antihypertensive effectiveness of low-dose lisinopril-hydrochlorothiazide combination. A large multicenter study. Lisinopril-Hydrochlorothiazide Group
PubMed ID: 8147677
Shows HCT-induced potassium lowering in BP trial â relevant to K-dependent cardiac electrophysiology.
- Correlates of ventricular ectopic activity in isolated systolic hypertension. SHEP Cooperative Research Group
PubMed ID: 7506007
Association between low serum K and more premature ventricular beats â direct link between K status and cardiac rhythm regulation.
- Effect of potassium supplementation on blood pressure in African Americans on a low-potassium diet. A randomized, double-blind, placebo-controlled trial
PubMed ID: 8526698
BP reductions after K supplementation have downstream benefits for cardiac function; direct cardiac endpoints not primary in trial.
- Effect of a new model of hemodialysis potassium removal on the control of ventricular arrhythmias
PubMed ID: 8840293
Changing dialysate K+ (decreasing profile) markedly reduced dialysis-associated ventricular arrhythmiasâstrong cardiac electrophysiologic effect.
- [The new potassium channel blocker tedisamil and its hemodynamic, anti-ischemic and neurohumoral effect in patients with coronary heart disease]
PubMed ID: 9082675
Potassium-channel blocker tedisamil had marked effects on heart rate, ischemia and repolarizationâhighly relevant to cardiac electrophysiology.
- Effect of hydrochlorothiazide therapy on cardiac arrhythmias in African-American men with systemic hypertension and moderate to severe left ventricular hypertrophy
PubMed ID: 8888660
HCTZ-related hypokalemia can predispose to arrhythmia; study documented a meaningful fall in serum K.
- Metabolic modulation of acute myocardial infarction. The ECLA (Estudios CardiolĂłgicos LatinoamĂŠrica) Collaborative Group
PubMed ID: 9867443
Early GIK (includes potassium) in MI was associated with markedly lower mortality in reperfused patients â supports a cardiac benefit for the combined regimen; potassium was a component (not isolated).
- Linkage of the Na,K-ATPase alpha 2 and beta 1 genes with resting and exercise heart rate and blood pressure: cross-sectional and longitudinal observations from the Quebec Family Study
PubMed ID: 10100071
Genetic variation in Na,K-ATPase linked to resting/exercise heart rate and some BP measures â mechanistic link to K+-dependent cardiac function.
- Clinical, biochemical and histochemical assessment of pretreatment with glucose-insulin-potassium for patients undergoing mitral valve replacement in the third and fourth functional groups of the New York Heart Association
PubMed ID: 10519674
GIK (includes K+) improved myocardial glycogen, cardiac output and reduced arrhythmias during surgeryâdirect cardiac functional benefits.
- Is skeletal muscle luxury perfusion the main hemodynamic effect of high-dose insulin in cardiac surgery?
PubMed ID: 10983674
Insulin+glucose+potassium increased cardiac output and reduced systemic vascular resistance postâcoronary surgery; relevant to cardiac support when K included in therapy.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Large trial linking diureticâinduced hypokalemia with higher rates of cardiovascular events; preserving normal K strongly associated with better cardiac outcomes.
- Glucose-insulin-potassium solutions improve outcomes in diabetics who have coronary artery operations
PubMed ID: 10921699
Glucoseâinsulinâpotassium infusion (includes K+) around bypass improved cardiac index, reduced AF and hospital stay â direct cardiac benefit.
- The effect of glucose-insulin-potassium solution on ventricular late potentials and heart rate variability in acute myocardial infarction
PubMed ID: 11696690
GIK infusion (including potassium) reduced arrhythmic markers and improved LVEF after MIâstrong cardiac functional benefit.
- The effects of venous cannulation technique and cardioplegia type on plasma potassium concentration and arterial blood pressure during cardiopulmonary bypass
PubMed ID: 11680727
Perioperative techniques produced substantial plasma K+ changes and associated MAP dropsâdirect cardiac/hemodynamic relevance.
- Randomized controlled crossover study of the effect on proteinuria and blood pressure of adding an angiotensin II receptor antagonist to an angiotensin converting enzyme inhibitor in normotensive patients with chronic renal disease and proteinuria
PubMed ID: 11917051
Documented a case of serum K = 6.3 mmol/L on ARB in renal patientsâimportant for arrhythmia risk and heart rhythm regulation.
- [Role of the Swan-Ganz pulmonary artery (PA) catheter in evaluation of hemodynamic changes during myocardial revascularization in patients with low left ventricular function]
PubMed ID: 12587480
GIK infusion improved cardiac index and oxygen metabolism after bypass compared with Ringerâimprovement seen with a regimen that includes potassium (confounded by glucose/insulin).
- Eplerenone, a selective aldosterone blocker, in patients with left ventricular dysfunction after myocardial infarction
PubMed ID: 12668699
Eplerenone after MI with LV dysfunction reduced allâcause mortality and CV eventsâdirect cardiac benefit but associated with increased hyperkalemia risk.
- Effects of glucose-insulin-potassium solution on myocardial salvage and left ventricular function after primary angioplasty
PubMed ID: 12973173
GIK therapy (which includes potassium) after MI led to a significant within-group increase in LVEF, indicating improved cardiac pumping function.
- Diuretic use, progressive heart failure, and death in patients in the Studies Of Left Ventricular Dysfunction (SOLVD)
PubMed ID: 12932605
Large observational cohort found potassiumâsparing diuretics associated with substantially lower HF hospitalization and mortalityâstrong signal linking Kâsparing therapy and heart outcomes (observational).
- Potassium supplementation, diet vs pills: a randomized trial in postoperative cardiac surgery patients
PubMed ID: 14769716
Perioperative maintenance of serum potassium in cardiac surgery patients helps prevent electrolyte disturbances that can provoke arrhythmias and supports cardiac electrical stability.
- Tight glycemic control in diabetic coronary artery bypass graft patients improves perioperative outcomes and decreases recurrent ischemic events
PubMed ID: 15006999
GIK infusion (contains potassium) in CABG patients markedly reduced incidence of atrial fibrillation â clinically relevant to cardiac rhythm, though K's isolated role is uncertain.
- Serum potassium, cardiovascular risk, and effects of an ACE inhibitor: results of the HOPE study
PubMed ID: 15786818
Large dataset: modest hypokalemia predicted higher cardiovascular eventsâstrong evidence that maintaining K supports cardiac outcomes.
- ST-segment elevation resolution and outcome in patients treated with primary angioplasty and glucose-insulin-potassium infusion
PubMed ID: 15976800
GIK improved ECG reperfusion markers (STâsegment resolution) after PCIâindirect evidence of myocardial benefit from a regimen containing potassium.
- Effect of glucose-insulin-potassium infusion on myocardial damage due to percutaneous coronary revascularization
PubMed ID: 16310433
Preâstenting GIK (contains potassium) reduced troponin rise after PCI (less myocardial injury), supporting myocardial protection (heart function).
- Blood cardioplegia provides superior protection in infant cardiac surgery
PubMed ID: 16122471
Blood cardioplegia preserved myocardial metabolism/function better than crystalloid in infant heart surgery (cardiac protection relevance).
- Effects of canrenoate plus angiotensin-converting enzyme inhibitors versus angiotensin-converting enzyme inhibitors alone on systolic and diastolic function in patients with acute anterior myocardial infarction
PubMed ID: 16290961
Canrenoate added to ACEI post-MI improved LV volumes and diastolic indices; some hyperkalemia events observed.
- Effects of glucose-insulin-potassium solution added to reperfusion treatment in acute myocardial infarction
PubMed ID: 15939681
GIK infusion in AMI linked to fewer early HF events and better HRV â improved cardiac outcomes (potassium included in regimen).
- Effects of glucose-insulin-potassium infusion on ST-elevation myocardial infarction in patients treated with thrombolytic therapy
PubMed ID: 16214437
High-dose GIK in STEMI reduced MACEs, VT/VF and severe HF and improved LVEF â substantial cardiac benefit (multicomponent therapy).
- Improved myocardial protection during coronary artery surgery with glucose-insulin-potassium: a randomized controlled trial
PubMed ID: 16399292
GIK infusion around coronary surgery improved cardiac index and reduced low-output episodes; potassium was part of the mixture but effect may be multi-factorial.
- Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men
PubMed ID: 16762939
Potassium-enriched salt substitution reduced cardiovascular mortality and inpatient CVD costsâstrong population-level support for cardiac benefit from increased dietary potassium/reduced sodium.
- Anti-inflammatory effect of high-dose insulin treatment after urgent coronary revascularization surgery
PubMed ID: 16923091
High-dose GIK lowered inflammatory markers post-CABG and affected metabolic parameters; potassium was a component of the regimen.
- Gender and age effects on ventricular repolarization abnormality in Japanese general carriers of a G643S common single nucleotide polymorphism for the KCNQ1 gene
PubMed ID: 16723781
KCNQ1 potassium-channel variant associated with increased repolarization dispersion, directly linking potassium-channel genetics to cardiac electrical stability.
- Effects of glucose-insulin-potassium infusion on myocardial perfusion and left ventricular remodeling in patients treated with primary angioplasty for ST-elevation acute myocardial infarction
PubMed ID: 17134627
Glucoseâinsulinâpotassium (GIK) infusion given during PCI improved microvascular perfusion and dramatically reduced LV remodelingâstudy includes potassium but effects not attributable to K+ alone; nevertheless relevant to cardiac outcomes.
- [Antegrade warm blood cardioplegia versus cold blood cardioplegia in normothermia in the coronary artery bypass grafting procedures. Troponine I release as a marker of periopertive myocardial ischemia]
PubMed ID: 16875157
Warm (potassiumâcontaining) cardioplegia reduced myocardial damage and improved rhythm recoveryâpotassium is part of cardioplegia solution implicated in cardiac protection.
- Postconditioning the human heart with adenosine in heart valve replacement surgery
PubMed ID: 17532398
In valve surgery on a background of highâpotassium cardioplegia, adding adenosine reduced myocardial injury markers and inotrope need â directly relevant to cardiac protection in a potassium-rich cardioplegia context.
- Effects of torcetrapib in patients at high risk for coronary events
PubMed ID: 17984165
Large trial showing torcetrapib lowered potassium and increased CV events/deaths â supports importance of potassium homeostasis for cardiac outcomes (adverse evidence).
- [Efficacy and safety of long-term application of spironolactone in patients with moderate and severe chronic heart failure receiving optimal therapy]
PubMed ID: 18260939
Adding spironolactone improved LV remodeling but produced clinically relevant hyperkalemia, linking K changes to cardiac outcomes and safety.
- The myocardial protective effects of a moderate-potassium adenosine-lidocaine cardioplegia in pediatric cardiac surgery
PubMed ID: 19114188
ModerateâK cardioplegia (vs highâK) reduced myocardial injury markers and improved pressures after pediatric heart surgery â a direct Kâconcentration cardiac effect.
- A propensity-matched study of low serum potassium and mortality in older adults with chronic heart failure
PubMed ID: 18691778
Low serum K (<4 mEq/L) in older HF patients associated with higher mortality â strong link between K status and cardiac outcomes.
- Cholesteryl ester transfer protein inhibition, high-density lipoprotein raising, and progression of coronary atherosclerosis: insights from ILLUSTRATE (Investigation of Lipid Level Management Using Coronary Ultrasound to Assess Reduction of Atherosclerosis by CETP Inhibition and HDL Elevation)
PubMed ID: 19029466
Torcetrapib caused a small but significant decrease in serum potassium and was associated with adverse cardiovascular outcomes, implicating potassium perturbation in cardiac risk.
- [Study on safety and efficacy of concentrated potassium chloride infusions in critically ill patients with hypokalemia]
PubMed ID: 18611341
Effective, safe correction of hypokalemia in critically ill patients reduces arrhythmia risk and supports cardiac cellular function.
- Differential associations of dietary sodium and potassium intake with blood pressure: a focus on pulse pressure
PubMed ID: 19462490
Higher dietary K associated with lower BP in a large sampleâbeneficial for cardiovascular risk and heart function.
- Hypokalemia and outcomes in patients with chronic heart failure and chronic kidney disease: findings from propensity-matched studies
PubMed ID: 20103777
Strong clinical association: mild hypokalemia in chronic heart failure with CKD linked to higher mortality and hospitalization, supporting importance of normal potassium for heart outcomes.
- Prediction of drug-related morphological changes of the T wave
PubMed ID: 20429697
Patients given a combined potassium- and sodium-channel blocking agent developed T-wave/QT changes â directly implicates potassium-channel physiology in cardiac electrophysiology.
- Evaluation of the efficacy and safety of RLY5016, a polymeric potassium binder, in a double-blind, placebo-controlled study in patients with chronic heart failure (the PEARL-HF) trial
PubMed ID: 21208974
Because hyperkalaemia directly impairs cardiac conduction and RLY5016 reduced hyperkalaemia events, this has clear relevance to cardiac safety/function.
- T-wave morphology abnormalities in benign, potent, and arrhythmogenic I(kr) inhibition
PubMed ID: 21315844
Tâwave morphological measures detect IKr inhibition and stratify arrhythmic riskâmechanistic relevance to repolarization and K currents.
- Frequency and predictors of hyperkalemia in patients âĽ60 years of age with heart failure undergoing intense medical therapy
PubMed ID: 22152974
Large heartâfailure cohort demonstrating high rates of clinically important hyperkalemia and predictorsâdirectly relevant to cardiac safety and K management.
- Out-of-hospital administration of intravenous glucose-insulin-potassium in patients with suspected acute coronary syndromes: the IMMEDIATE randomized controlled trial
PubMed ID: 22452807
IMMEDIATE GIK (contains potassium) reduced infarct size in a biological subgroup and lowered early cardiac arrest/in-hospital death composite â supports acute cardiac protection.
- Clinical significance of incident hypokalemia and hyperkalemia in treated hypertensive patients in the antihypertensive and lipid-lowering treatment to prevent heart attack trial
PubMed ID: 22431578
Large cohort: both hypo- and hyperkalemia associated with higher mortality/CV events â underscores importance of K for cardiac outcomes.
- The myocardial protective effects of a moderate-potassium blood cardioplegia in pediatric cardiac surgery: a randomized controlled trial
PubMed ID: 22795063
Direct RCT comparing cardioplegia potassium concentrations showed better myocardial protection (lower troponin) and faster rhythm recovery with moderate-K solution.
- Effects of enalapril in systolic heart failure patients with and without chronic kidney disease: insights from the SOLVD Treatment trial
PubMed ID: 22257685
Large enalapril trial reduced mortality in systolic HF (cardiac benefit) while reporting effects on serum potassiumârelevant to cardiac care and potassium monitoring.
- Postoperative N-terminal pro-brain natriuretic peptide level in coronary artery bypass surgery with ventricular dysfunction after perioperative glucose-insulin-potassium treatment
PubMed ID: 22285123
Perioperative GIK (contains 40 mEq KCl) reduced NTâproBNP rise and shortened ventilation after CABG â clinical cardiac biomarker and outcome benefits (confounded by glucose/insulin).
- Postprandial effects of potassium supplementation on vascular function and blood pressure: a randomised cross-over study
PubMed ID: 24119989
HighâK meal attenuated postprandial reduction in flowâmediated dilation â suggests acute endothelial/vascular benefit relevant to cardiac function.
- Safety and efficacy of eplerenone in patients at high risk for hyperkalemia and/or worsening renal function: analyses of the EMPHASIS-HF study subgroups (Eplerenone in Mild Patients Hospitalization And SurvIval Study in Heart Failure)
PubMed ID: 23810881
Eplerenone reduced HF outcomes but increased serum potassiumâimportant for heart patients where K+ affects cardiac function.
- Incidence, determinants, and prognostic significance of hyperkalemia and worsening renal function in patients with heart failure receiving the mineralocorticoid receptor antagonist eplerenone or placebo in addition to optimal medical therapy: results from the Eplerenone in Mild Patients Hospitalization and Survival Study in Heart Failure (EMPHASIS-HF)
PubMed ID: 24297687
Large dataset linking eplerenone to K+ rises while preserving survival benefit; directly relevant to cardiac therapy and potassium monitoring.
- Glucosa-Insulin-Potassium (GIK) solution used with diabetic patients provides better recovery after coronary bypass operations
PubMed ID: 24341049
GIK during CABG associated with fewer postoperative arrhythmias and shorter ventilation â strong perioperative cardiac outcome signal (K part of GIK).
- Race influences the safety and efficacy of spironolactone in severe heart failure
PubMed ID: 23940307
Spironolactone changed potassium and influenced clinical HF outcomes differentially by race â relevant to cardiac treatment and K+ effects.
- Rapid slowing of the atrial fibrillatory rate after administration of AZD7009 predicts conversion of atrial fibrillation
PubMed ID: 24508473
AZD7009 (K+ and Na+ channel blocker) affected atrial fibrillatory rate and conversion dynamics â directly impacts cardiac electrophysiology (K+ channel action), though not dietary potassium.
- Sodium zirconium cyclosilicate in hyperkalemia
PubMed ID: 25415807
Rapid correction/maintenance of serum K by ZSâ9 reduces hyperkalemia-related cardiac risk â direct relevance to cardiac safety and function.
- Is the acetylcholine-regulated inwardly rectifying potassium current a viable antiarrhythmic target? Translational discrepancies of AZD2927 and A7071 in dogs and humans
PubMed ID: 25082948
Potassiumâchannel blockers strongly modified atrial arrhythmia in dogs (and were tested in humans) â direct mechanistic link between K currents and rhythm regulation though translational limits exist.
- Incidence, predictors, and outcomes related to hypo- and hyperkalemia in patients with severe heart failure treated with a mineralocorticoid receptor antagonist
PubMed ID: 24812304
Large HF trial dataset: spironolactone modestly raised K and reduced mortality â strong clinical signal linking therapies that alter K to heart outcomes (drug-specific).
- Effect of sodium and potassium supplementation on vascular and endothelial function: a randomized controlled trial
PubMed ID: 25787997
Acute potassium administration attenuated postprandial endothelial dysfunction (improved FMD), supporting vascular/ endothelial aspects of cardiac health.
- Effects of sodium and potassium supplementation on endothelial function: a fully controlled dietary intervention study
PubMed ID: 26343780
Improved FMD (endothelial function) after K supplementation indicates better vascular function, an important component of cardiovascular health.
- Maintenance of serum potassium with sodium zirconium cyclosilicate (ZS-9) in heart failure patients: results from a phase 3 randomized, double-blind, placebo-controlled trial
PubMed ID: 26011677
Rapid normalization of hyperkalaemia reduces risk of arrhythmia and allowed continuation of RAAS inhibitors in HF patients â directly relevant to cardiac electrical stability.
- Effect of Patiromer on Serum Potassium Level in Patients With Hyperkalemia and Diabetic Kidney Disease: The AMETHYST-DN Randomized Clinical Trial
PubMed ID: 26172895
Sustained potassium lowering in CKD/diabetic kidney disease reduces hyperkalaemia risk and so supports safer cardiac rhythm management.
- Genetic modifiers of response to glucose-insulin-potassium (GIK) infusion in acute coronary syndromes and associations with clinical outcomes in the IMMEDIATE trial
PubMed ID: 25778467
GIK infusion study documented plasma K changes and associations with infarct sizeâdirectly relevant to potassium physiology in acute cardiac care.
- A phase 2 study on the treatment of hyperkalemia in patients with chronic kidney disease suggests that the selective potassium trap, ZS-9, is safe and efficient
PubMed ID: 25651363
ZS-9's rapid and substantial lowering of serum potassium in hyperkalemic patients is directly relevant to preventing potassium-mediated arrhythmias.
- Long-Term Effects of Low-Dose Spironolactone on Chronic Dialysis Patients: A Randomized Placebo-Controlled Study
PubMed ID: 26224543
Spironolactone reduced cardioâcerebrovascular events in dialysis patients (potassiumâsparing drug with cardioprotective outcomes).
- Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial
PubMed ID: 27413123
Confirms dietary potassium is bioavailable and alters serum K, which directly affects cardiac electrophysiology â physiologic relevance though no cardiac endpoints measured.
- Serum potassium levels, cardiac arrhythmias, and mortality following non-ST-elevation myocardial infarction or unstable angina: insights from MERLIN-TIMI 36
PubMed ID: 26714972
Large NSTEâACS cohort: admission serum K showed a Uâshaped relation with arrhythmias and cardiovascular mortalityâstrong evidence linking K and cardiac outcomes.
- Treatment with patiromer decreases aldosterone in patients with chronic kidney disease and hyperkalemia on renin-angiotensin system inhibitors
PubMed ID: 27350174
In CKD patients patiromer reduced serum K and was associated with lower aldosterone and BPâsecondary benefits relevant to cardiac load/function.
- Impact of eplerenone on cardiovascular outcomes in heart failure patients with hypokalaemia
PubMed ID: 27868385
EMPHASIS-HF analysis: baseline hypokalemia signaled worse prognosis and mediated part of MRA benefit â strong linkage between potassium status and cardiovascular outcomes.
- In-hospital measurement of left ventricular ejection fraction and one-year outcomes in acute coronary syndromes: results from the IMMEDIATE Trial
PubMed ID: 27488569
In-hospital GIK trial showed a trend toward higher LVEF and highlights a potassium-containing metabolic therapy in ACS; effect on LVEF was a non-significant trend.
- Very early administration of glucose-insulin-potassium by emergency medical service for acute coronary syndromes: Biological mechanisms for benefit in the IMMEDIATE Trial
PubMed ID: 27502865
Early ambulance GIK (includes K+) markedly reduced FFAs and was associated with much smaller infarct size â strong direct cardiovascular benefit from a metabolic potassium-containing intervention.
- One-Year Outcome of Intensive Insulin Therapy Combined to Glucose-Insulin-Potassium in Acute Coronary Syndrome: A Randomized Controlled Study
PubMed ID: 29138181
GIK (glucoseâinsulinâpotassium) therapy in nonâST elevation ACS reduced 1âyear cardiovascular events â direct clinical relevance of potassium-containing metabolic therapy to cardiac outcomes.
- Comparison of enteral versus intravenous potassium supplementation in hypokalaemia in paediatric patients in intensive care post cardiac surgery: open-label randomised equivalence trial (EIPS)
PubMed ID: 28495809
Potassium replacement corrects hypokalemia in postâcardiac surgery patients and directly impacts arrhythmia risk/heart rhythm regulation.
- LY3045697: Results from two randomized clinical trials of a novel inhibitor of aldosterone synthase
PubMed ID: 28814143
Drug inhibited aldosterone and increased serum potassiumâchanges in K level have direct effects on cardiac electrophysiology.
- Effect of eplerenone in patients with heart failure and reduced ejection fraction: potential effect modification by abdominal obesity. Insight from the EMPHASIS-HF trial
PubMed ID: 28303624
Eplerenone affected cardiac outcomes and required K monitoringârelevant to cardiac therapy and K handling.
- Myocardial Protection by Glucose-Insulin-Potassium in Moderate- to High-Risk Patients Undergoing Elective On-Pump Cardiac Surgery: A Randomized Controlled Trial
PubMed ID: 29324494
Glucoseâinsulinâpotassium (GIK) infusion (includes K+) reduced postâcardiotomy ventricular dysfunction and troponin, suggesting myocardial protection.
- Effects of salt substitute on home blood pressure differs according to age and degree of blood pressure in hypertensive patients and their families
PubMed ID: 29400576
BP lowering via Kârich salt substitute supports cardiovascular risk reduction and thus heart function.
- Spironolactone to increase natriuresis in congestive heart failure with cardiorenal syndrome
PubMed ID: 29587582
Spironolactone early use affected natriuresis and monitored potassium; relevant to heart failure management where potassium balance is important.
- Evaluation of an individualized dose titration regimen of patiromer to prevent hyperkalaemia in patients with heart failure and chronic kidney disease
PubMed ID: 29369537
By maintaining serum K, patiromer enabled spironolactone uptitration in HF patientsâfacilitating guideline heart-failure therapy with cardiac benefits.
- A Phase 3b, Randomized, Double-Blind, Placebo-Controlled Study of Sodium Zirconium Cyclosilicate for Reducing the Incidence of Predialysis Hyperkalemia
PubMed ID: 31201218
Maintaining predialysis potassium within a target range reduces arrhythmia risk in hemodialysis patients, supporting cardiac electrical stability.
Blood pressure (208)
- Enalapril versus bendroflumethiazide in type 2 diabetes complicated by hypertension
PubMed ID: 7859051
Thiazide in hypertensive diabetics lowered serum K and lowered BP â ties diuretic use, BP control, and K changes.
- Comparison of labetalol and hydrochlorothiazide in elderly patients with hypertension using 24-hour ambulatory blood pressure monitoring
PubMed ID: 2355103
Direct comparison of antihypertensives showing BP lowering with concurrent HCTZ-induced K loss; links BP therapy and K.
- Bisoprolol vs. chlorthalidone: a randomized, double-blind, comparative study in arterial hypertension
PubMed ID: 11527126
Chlorthalidone lowered BP but produced significant hypokalemia; directly relevant to BP pharmacotherapy and potassium.
- [Prognosis of mild chronic heart failure: effects of the ACE inhibitor captopril]
PubMed ID: 1820294
ACE inhibitor (captopril) reduced CHF progression and was associated with higher serum potassium â demonstrates interplay between BP/CHF therapy and potassium.
- The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group
PubMed ID: 2064494
Large trial of lifestyle changes (including increased potassium) produced substantial BP lowering â potassium part of dietary intervention associated with BP benefit.
- The Trial of Antihypertensive Interventions and Management (TAIM) Study. Final results with regard to blood pressure, cardiovascular risk, and quality of life
PubMed ID: 1736933
Large hypertension study where diet arms increasing potassium contributed to greater BP reduction when combined with weight loss and drugs (potassium effect not isolated but implicated).
- Renin predicts diastolic blood pressure response to nonpharmacologic and pharmacologic therapy
PubMed ID: 1538559
Large randomized study testing lowâsodium/highâpotassium diets showed modest but consistent BP reductions (reninâdependent) â direct diet/potassium effect on blood pressure.
- Can guava fruit intake decrease blood pressure and blood lipids?
PubMed ID: 8383769
Potassium- and fibreârich guava consumption for 4 weeks produced clinically meaningful reductions in systolic and diastolic BP in hypertensive patients; intervention was multi-component but K-rich content is plausibly contributory.
- Relationship to blood pressure of combinations of dietary macronutrients. Findings of the Multiple Risk Factor Intervention Trial (MRFIT)
PubMed ID: 8921782
Large observational study: higher dietary potassium associated with lower blood pressure â strong direct relevance.
- The effects of antihypertensive combination therapy on lipid and glucose metabolism: hydrochlorothiazide plus sotalol vs. hydrochlorothiazide plus captopril
PubMed ID: 9208337
Antihypertensive drug combinations lowered BP while altering serum potassiumâdirectly ties potassium monitoring to BP therapy outcomes.
- Rural and semi-urban differences in salt intake, and its dietary sources, in Ashanti, West Africa
PubMed ID: 15720047
Population data: higher urinary potassium (+18 mmol/day) in rural adults associated with ~8 mmHg lower systolic BPâstrong link between potassium intake and BP.
- Factorial antihypertensive study of an extended-release metoprolol and hydrochlorothiazide combination
PubMed ID: 17161766
Large RCT: HCT lowered BP but also reproducibly reduced serum Kâdirectly links K changes to antihypertensive therapy context.
- Comparison of risk factor reduction and tolerability of a full-dose polypill (with potassium) versus low-dose polypill (polycap) in individuals at high risk of cardiovascular diseases: the Second Indian Polycap Study (TIPS-2) investigators
PubMed ID: 22787067
Adding potassium in a cardiovascular polypill produced small but statistically significant additional BP reductions in a randomized trial.
- A nutrient-wide association study on blood pressure
PubMed ID: 23093587
Large international cohorts show higher urinary Na/K ratio strongly associated with higher BP; direct, highârelevance evidence linking potassium status to BP.
- The influence of a physician and patient intervention program on dietary intake
PubMed ID: 23999279
Lifestyle program increased potassium intake (biomarker) and produced modest but significant systolic BP reductionsâdirect dietary K â BP evidence.
- Impact of light salt substitution for regular salt on blood pressure of hypertensive patients
PubMed ID: 25409877
Randomized substitution with potassiumâenriched light salt produced large reductions in SBP/DBP over 28 days in hypertensives (direct intervention evidence).
- Associations between Dietary Patterns and Blood Pressure in a Clinical Sample of Overweight Adults
PubMed ID: 27666380
Dietary pattern rich in fruits/nuts/seeds (Kârich) was associated with lower systolic and diastolic BP and a healthier urinary Na:K ratio.
- The Effects of Two Intervention Strategies to Reduce the Intake of Salt and the Sodium-To-Potassium Ratio on Cardiovascular Risk Factors. A 4-Month Randomised Controlled Study among Healthy Families
PubMed ID: 32438659
Intervention reducing sodium intake improved sodium:potassium ratio and, in subgroups with large ratio reductions, significantly lowered systolic BPâdirect BP evidence.
- Safety and efficacy of alcohol-mediated bilateral adrenal artery embolization in patients with idiopathic hyperaldosteronism: a 6-month follow-up of a randomized controlled trial
PubMed ID: 40468047
Treatment of hyperaldosteronism improved blood pressure alongside correction of potassium abnormalities â underscores potassium's role in BP in pathophysiologic states.
- Nutritional factors for stroke and major cardiovascular diseases: international epidemiological comparison of dietary prevention
PubMed ID: 7919085
Large multiâpopulation epidemiologic evidence linking higher sodium and higher Na/K ratio to higher blood pressure and stroke risk â supports role of potassium (relative to sodium) in BP regulation.
- Effect of individualised dietary advice for weight loss supplemented with walnuts on blood pressure: the HealthTrack study
PubMed ID: 29559724
Diet intervention: increased urinary potassium and lower Na:K ratio correlated with greater SBP reductionsâsupports potassium's role in BP lowering (associative evidence).
- Stabilization and regression of albuminuria in Chinese patients with type 2 diabetes: a one-year randomized study of valsartan versus enalapril
PubMed ID: 16020405
ACE inhibitor/ARB therapy reduced BP in T2DM patients (primary outcome) â directly relevant to BP support.
- Dietary modulators of blood pressure in hypertension
PubMed ID: 2364920
Heartâhealthy diet higher in potassium markedly lowered BP and increased serum K; directly supports potassium's BP benefit (though diet was multiâcomponent).
- Nutrient intake and blood pressure in the Dietary Intervention Study in Children
PubMed ID: 9095079
Longitudinal data in children: higher dietary potassium associated with lower systolic and diastolic BP â direct epidemiologic support.
- Effect on blood pressure of potassium, calcium, and magnesium in women with low habitual intake
PubMed ID: 9449404
Randomized supplement trial in women with low mineral intakes: potassium 40 mmol/day lowered systolic and diastolic BP modestly and significantly.
- Descriptive characteristics of the dietary patterns used in the Dietary Approaches to Stop Hypertension Trial. DASH Collaborative Research Group
PubMed ID: 10450290
DASH diet arms substantially increased dietary potassium (one mechanism for DASH BP benefits) â indirect but relevant evidence.
- Validation of diet composition for the Dietary Approaches to Stop Hypertension trial. DASH Collaborative Research Group
PubMed ID: 10450296
DASH feeding trial menu analyses confirm differential potassium content across diets that underlie the DASH BPâlowering effects (indirect but mechanistically important).
- Blood pressure responses to high-calcium skim milk and potassium-enriched high-calcium skim milk
PubMed ID: 10994765
Randomized crossover: potassiumâenriched milk produced small but significant reductions in clinic and ambulatory systolic BP â strong direct evidence.
- The DASH diet and sodium reduction improve markers of bone turnover and calcium metabolism in adults
PubMed ID: 14519796
DASH pattern (higher K) and sodium reduction linked to beneficial cardiometabolic/bone outcomes; DASH is established for BP lowering.
- Determinants of salt sensitivity in black and white normotensive and hypertensive women
PubMed ID: 14610097
Salt loading study linked intracellular K to saltâsensitivity and larger BP rises in AfricanâAmerican hypertensives â mechanistic support for K in BP regulation.
- [Long term observation in effects of potassium and calcium supplementation on arterial blood pressure and sodium metabolism in adolescents with higher blood pressure]
PubMed ID: 12839657
2âyear randomized salt replacement with added potassium (and calcium) increased urinary K and produced meaningful BP reductions in adolescents â clear longâterm BP benefit (coâsupplemented with Ca).
- Blood pressure response to dietary modifications in free-living individuals
PubMed ID: 15333723
Freeâliving diet higher in K (and lower Na) produced statistically significant reductions in systolic and diastolic BP.
- Reduction of blood pressure with calcium and potassium supplementation in children with salt sensitivity: a 2-year double-blinded placebo-controlled trial
PubMed ID: 15759021
Randomized trial in saltâsensitive children: calcium+potassium supplementation reduced systolic/diastolic BP riseâstrong direct BP effect.
- Blood pressure change with weight loss is affected by diet type in men
PubMed ID: 15883419
DASHâstyle, higherâpotassium weightâloss diet lowered systolic and diastolic BP more than lowâfat dietâdietary potassium likely contributory.
- The PREMIER intervention helps participants follow the Dietary Approaches to Stop Hypertension dietary pattern and the current Dietary Reference Intakes recommendations
PubMed ID: 17761231
Large lifestyle/DASH program raised dietary potassium and improved BP relative to adviceâsupports dietary potassium for BP control.
- Family-based randomized trial to detect effects on blood pressure of a salt substitute containing potassium and calcium in hypertensive adolescents
PubMed ID: 19661927
Large randomized family trial: replacing salt with potassium+calcium salt conferred clinically meaningful BP reductions.
- DASH lowers blood pressure in obese hypertensives beyond potassium, magnesium and fibre
PubMed ID: 19626043
DASH fruits/vegetables (higher potassium) significantly lowered SBP/DBP and improved vascular function.
- Compound ion salt, a novel low-sodium salt substitute: from animal study to community-based population trial
PubMed ID: 19661926
Community trial of lowâsodium (Kâcontaining) salt substitute produced large mean reductions in SBP and DBP.
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
KCl and KHCO3 supplementation improved endothelial function and arterial compliance in mildly hypertensive adults.
- Influence of dietary modifications on the blood pressure response to antihypertensive medication
PubMed ID: 20807467
Randomized dietary intervention: lowâNa, highâK diet produced clinically meaningful SBP reductions (especially with RAS blockade).
- The effect of dairy consumption on blood pressure in mid-childhood: CAPS cohort study
PubMed ID: 22234043
Cohort linked higher dietary potassium (with other minerals) in early life to modestly lower blood pressure at age 8 â observational support for BP effects.
- Comparison of medium-dose losartan/hydrochlorothiazide and maximal-dose angiotensin II receptor blockers in the treatment of Japanese patients with uncontrolled hypertension: the Kobe-CONNECT Study
PubMed ID: 22786569
Large RCT showed better BP control with losartan+HCTZ; serum potassium changed only slightly â relevant to BP management where potassium is implicated.
- Effect of amiloride, or amiloride plus hydrochlorothiazide, versus hydrochlorothiazide on glucose tolerance and blood pressure (PATHWAY-3): a parallel-group, double-blind randomised phase 4 trial
PubMed ID: 26489809
Randomized trial: amiloride (Kâsparing) and combination therapy produced substantial reductions in home systolic BP vs HCTZ.
- Home blood pressure-lowering effect of a non-steroidal mineralocorticoid receptor blocker, esaxerenone, versus trichlormethiazide for uncontrolled hypertension: the EXCITE-HT randomized controlled study
PubMed ID: 39039285
Esaxerenone was tested as a second-line antihypertensive with meaningful BP reductions; study also reported K effects relevant to safety.
- Home blood pressure-lowering effect of esaxerenone versus trichlormethiazide for uncontrolled hypertension: a predefined subanalysis of the EXCITE-HT randomized controlled trial by basal calcium channel blocker versus angiotensin receptor blocker
PubMed ID: 39394512
Esaxerenone lowered home BP effectively but raised serum potassium modestlyâdirectly informs BP management with potassium-safety implications.
- Spironolactone vs Amiloride for Resistant Hypertension: A Randomized Clinical Trial
PubMed ID: 40366680
Randomized trial showed amiloride lowered home systolic BP noninferior to spironolactone; directly relevant to BP control and potassium-handling therapy.
- Efficacy and safety of esaxerenone vs trichlormethiazide for the treatment of uncontrolled essential hypertension in Japanese patients with type 2 diabetes mellitus: a subanalysis of the EXCITE-HT study
PubMed ID: 41436637
Esaxerenone lowered morning home SBP substantially in T2D hypertensive patients; serum K modestly increased â direct antihypertensive evidence.
- The effects of canrenone on inflammatory markers in patients with metabolic syndrome
PubMed ID: 25319120
Canrenone (mineralocorticoid antagonist) trial lowered BP; mechanistically linked to potassium/aldosterone axis (indirect).
- Changes in blood pressure, serum potassium and electrolytes with a combination of triamterene and a low dose of chlorthalidone
PubMed ID: 1778085
Adding triamterene to chlorthalidone maintained BP control while reducing thiazide-induced K lossârelevant to maintaining potassium while treating BP.
- Unchanged central hemodynamics after six months of moderate sodium restriction with or without potassium supplement in essential hypertension
PubMed ID: 7735495
Hypertensive patients using a Kârich salt substitute had greater clinic BP reductions vs standard salt and increased urinary potassium excretion.
- Effects of potassium supplementation on office, home, and 24-h blood pressure in patients with essential hypertension
PubMed ID: 9799029
Randomized potassium supplementation (64 mmol/day) raised serum/urinary K and produced small but statistically significant reductions in office, home and 24âh BP.
- Telmisartan plus hydrochlorothiazide versus telmisartan or hydrochlorothiazide monotherapy in patients with mild to moderate hypertension: a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial
PubMed ID: 11440284
Combination antihypertensive preserved potassium while sharply lowering BPâclinical BP/K link.
- Electrolyte intake and nonpharmacologic blood pressure control
PubMed ID: 12495832
Large study: higher potassium intake strongly associated with maintained nonpharmacologic BP control.
- The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers
PubMed ID: 12844375
Randomized double-blind trial: 24 mmol/day KCl for 6 weeks produced substantial reductions in SBP/DBP and MAPâhigh-quality direct evidence.
- The effect of a dietary supplement of potassium chloride or potassium citrate on blood pressure in predominantly normotensive volunteers
PubMed ID: 18053306
Randomized doubleâblind human trial: oral potassium salts (KCl or Kâcitrate) reduced systolic/diastolic BP by ~4â7 mmHg over 6 weeksâdirect, highâquality evidence.
- Effects of potassium supplementation on markers of osmoregulation and volume regulation: results of a fully controlled dietary intervention study
PubMed ID: 26599222
Controlled crossover K supplementation in (pre)hypertensive adults produced a clear small lowering of 24âh BP (â3.6/â1.6 mmHg) â direct clinical evidence.
- Interim effects of salt substitution on urinary electrolytes and blood pressure in the China Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 31986290
Large cluster RCT: potassiumâenriched salt raised urinary K and produced a clear, clinically meaningful reduction in systolic BP.
- Effect of a plant-based bioequivalent inorganic nitrate (NO(3)(-)) complex with vitamins, antioxidants and phytophenol rich food extracts in hypertensive individuals - A randomized, double-blind, placebo-controlled study
PubMed ID: 33183558
Potassiumâcontaining nitrate tablets lowered clinic BP and improved endothelial function versus placebo in hypertensive adults (nitrateâdriven effect).
- Short-Term RCT of Increased Dietary Potassium from Potato or Potassium Gluconate: Effect on Blood Pressure, Microcirculation, and Potassium and Sodium Retention in Pre-Hypertensive-to-Hypertensive Adults
PubMed ID: 34064968
Controlled feeding crossover increased dietary K and produced a clinically meaningful systolic BP reduction (esp. potato source) â strong direct evidence.
- Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension
PubMed ID: 40267417
Aldosterone synthase inhibition produced meaningful ambulatory BP reductions but also altered potassium (hyperkalemia), linking K homeostasis to BP effects and safety.
- Effect of diet and weight reduction in hypertension
PubMed ID: 2134545
Weightâreducing/cardioprotective diets (including more K-rich foods) produced large BP reductions.
- Dietary strategies for risk-factor modification to prevent cardiovascular diseases
PubMed ID: 1666320
Cardioprotective diet (higher potassium foods among changes) associated with improved CV risk including BP.
- Effects of guava intake on serum total and high-density lipoprotein cholesterol levels and on systemic blood pressure
PubMed ID: 1332463
Guava-enriched diet (increasing K-containing foods) lowered blood pressure after 12 weeks.
- Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care
PubMed ID: 15082472
Low-sodium, high-potassium salt reduced urinary Na:K ratio (biomarker linked to BP) though short-term BP effect was not seenâdirectly tests K-enriched salt.
- Challenges in sodium intake reduction and meal consumption patterns among participants with metabolic syndrome in a dietary trial
PubMed ID: 24345027
Dietary program reduced sodium intake and improved sodium:potassium ratio â changes relevant to population BP control.
- The effect of a dietary portfolio compared to a DASH-type diet on blood pressure
PubMed ID: 26552742
Randomized dietary trial: higher urinary K+ and lower Na+/K+ ratio associated with larger blood pressure reductions.
- Antihypertensive efficacy and tolerability of once daily losartan potassium compared with captopril in patients with mild to moderate essential hypertension
PubMed ID: 18800454
Losartan lowered DBP more than captopril in hypertension â drug-comparison relevant to BP control; potassium measured in some contexts though not emphasized.
- An equivalence study of the safety and efficacy of a fixed-dose combination of perindopril with indapamide versus fixed-dose combinations of captopril with hydrochlorothiazide and enalapril with hydrochlorothiazide in the treatment of hypertension
PubMed ID: 8903665
Large antihypertensive trial reported similar BP reductions and equivalent serum potassium across combinations â relates to K safety in BP therapy.
- Efficacy of potassium and magnesium in essential hypertension: a double-blind, placebo controlled, crossover study
PubMed ID: 2207419
Randomized trial: oral potassium (60 mmol/day) produced clinically meaningful reductions in systolic and diastolic BP.
- Relation between low dose of hydrochlorothiazide, antihypertensive effect and adverse effects
PubMed ID: 7994447
Doseârelated thiazide effects lowered BP and serum potassium â relevant to potassium's role in BP physiology and diureticâinduced hypokalemia.
- Reduction in blood pressure with a low sodium, high potassium, high magnesium salt in older subjects with mild to moderate hypertension
PubMed ID: 7920126
Large randomized trial: replacing salt with a lowâNa/highâK salt produced clear and clinically meaningful BP reductions.
- Long-term moderate sodium restriction does not adversely affect the serum HDL/total cholesterol ratio
PubMed ID: 8746642
Lowâsodium, highâK mineral salt modestly improved lipid ratio and reduced urinary sodiumâsupportive but smaller BP/lipid effects.
- Effects of dietary sodium substitution with potassium and magnesium in hypertensive type II diabetics: a randomised blind controlled parallel study
PubMed ID: 8895035
In hypertensive type 2 diabetics, potassium/magnesium salt substitution significantly lowered systolic BP and increased urinary K.
- The impact of vitamins and/or mineral supplementation on blood pressure in type 2 diabetes
PubMed ID: 15190052
Vitamin/mineral combination (not pure K+) raised serum K and lowered SBP/DBP in typeâ2 diabetics; supports link between mineral (including K) status and BP.
- Salt substitution: a low-cost strategy for blood pressure control among rural Chinese. A randomized, controlled trial
PubMed ID: 17885542
Large community trial: potassium-containing salt substitute produced sustained systolic BP reductions over 12 monthsâstrong direct evidence.
- Effects of salt substitute on pulse wave analysis among individuals at high cardiovascular risk in rural China: a randomized controlled trial
PubMed ID: 19262499
Salt substitute (potassium-rich) lowered peripheral and central systolic BP and improved arterial stiffness over 12 months (strong direct evidence).
- Feasibility and antihypertensive effect of replacing regular salt with mineral salt -rich in magnesium and potassium- in subjects with mildly elevated blood pressure
PubMed ID: 21888642
K/Mgâenriched salt reduced sodium intake, raised urinary K and lowered systolic BP over 8 weeks in mildly hypertensive adults.
- Long-term effects of salt substitution on blood pressure in a rural north Chinese population
PubMed ID: 23254595
Twoâyear trial of reducedâsodium, highâpotassium salt lowered systolic BP, especially in hypertensive participants.
- Using a low-sodium, high-potassium salt substitute to reduce blood pressure among Tibetans with high blood pressure: a patient-blinded randomized controlled trial
PubMed ID: 25338053
Large randomized trial: switching to lowâNa, highâK salt produced marked SBP/DBP reductions (strong, direct evidence for dietary K+ lowering BP).
- Intake of low sodium salt substitute for 3years attenuates the increase in blood pressure in a rural population of North China - A randomized controlled trial
PubMed ID: 27128565
3âyear replacement of table salt with KClâcontaining substitute significantly blunted longâterm BP rise (longâterm community evidence).
- Effects of Potassium Magnesium Citrate Supplementation on 24-Hour Ambulatory Blood Pressure and Oxidative Stress Marker in Prehypertensive and Hypertensive Subjects
PubMed ID: 27448942
Randomized crossover: KCl supplementation modestly lowered nighttime systolic BP vs placebo (direct supplement evidence).
- Pharmacologic and nutritional treatment of mild hypertension: changes in cardiovascular risk status
PubMed ID: 1967210
In hypertensive adults, diet/drug combinations including higher potassium diets lowered BP and estimated CV risk â strong relevance to K and BP.
- The Hypertension Prevention Trial: three-year effects of dietary changes on blood pressure. Hypertension Prevention Trial Research Group
PubMed ID: 2404477
Large dietary counseling trial produced a transient urinary K rise and sustained modest BP reductions at 6 months â supports K's role in BP control (contextual/combined intervention).
- Spironolactone and altizide versus converting enzyme inhibitor (enalapril)
PubMed ID: 2191586
Spironolactone+altizide lowered BP similarly to enalapril while showing neutral K changes â directly relevant to BP management and K handling.
- Long-term nopharmacological treatment for mild to moderate hypertension
PubMed ID: 2191071
Dietary/salt/fat/weight changes lowered BP over 12 months; potassium role indirect but part of dietary strategy.
- Relation between dose of bendrofluazide, antihypertensive effect, and adverse biochemical effects
PubMed ID: 2344503
Bendrofluazide lowered BP and produced dose-related decreases in serum potassium â directly relevant to BP treatment and K balance.
- Hypertension and arrhythmias: effects of slow-release nicardipine vs chlorthalidone: a double-blind crossover study
PubMed ID: 2258249
Thiazide (chlorthalidone) lowered BP but caused hypokalemia in some patients â highlights BPâK interaction.
- Increasing the dietary potassium intake reduces the need for antihypertensive medication
PubMed ID: 1929022
Randomized dietary potassium increase markedly reduced antihypertensive drug need and improved BP control.
- Lisinopril-hydrochlorothiazide combination compared with the monocomponents in elderly hypertensive patients
PubMed ID: 1665184
Lisinopril + HCTZ gave superior BP lowering and attenuated thiazide-induced K loss â directly connects K status with BP therapy.
- Effect of drug and diet treatment of mild hypertension on diastolic blood pressure. The TAIM Research Group
PubMed ID: 1671380
Low-sodium/high-potassium diet modestly lowered diastolic BP at population level (dietary intervention trial).
- Potassium supplementation versus bendrofluazide in mildly to moderately hypertensive Kenyans
PubMed ID: 1711614
Oral K supplementation (~64 mmol/day) produced large DBP reductions comparable to a thiazide diuretic in mildly hypertensive patients.
- Antihypertensive and metabolic effects of concomitant administration of terazosin and methyclothiazide for the treatment of essential hypertension
PubMed ID: 1349028
Combination therapy mitigated typical thiazide-related metabolic and K+ disturbances while producing larger BP reductionsâindirect evidence linking K+ homeostasis and BP therapy.
- Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group
PubMed ID: 8385183
Antihypertensive trial where thiazide dose reduced serum K and ACE inhibitor modified effects â links BP therapy and K.
- Effect of low sodium diet or potassium supplementation on adolescent blood pressure
PubMed ID: 8505112
Randomized potassium (KCl) supplementation trial in adolescents measured BP effects; modest, sexâspecific resultsâdirectly relevant.
- Antihypertensive effectiveness of low-dose lisinopril-hydrochlorothiazide combination. A large multicenter study. Lisinopril-Hydrochlorothiazide Group
PubMed ID: 8147677
Lisinopril and hydrochlorothiazide RCT showing HCT lowers K while lowering BP â directly relevant to BP treatment and K.
- Quinapril and hydrochlorothiazide combination for control of hypertension: assessment by factorial design. Quinapril Investigator Group
PubMed ID: 8006914
Quinapril attenuated thiazide-induced hypokalemia and reduced BP in combination therapyârelevant to BP control via K preservation.
- Effectiveness of enalapril in combination with low-dose hydrochlorothiazide versus enalapril alone for mild to moderate systemic hypertension in black patients
PubMed ID: 8198036
Adding low-dose HCTZ to enalapril improved BP without clinically important K changes â shows interplay of BP therapy and K homeostasis.
- The effect of potassium supplementation in persons with a high-normal blood pressure. Results from phase I of the Trials of Hypertension Prevention (TOHP). Trials of Hypertension Prevention (TOHP) Collaborative Research Group
PubMed ID: 7795836
Randomized oral KCl increased urinary K and produced a small, statistically significant short-term drop in diastolic BP (primary direct evidence).
- Clinical acceptability of ACE inhibitor therapy in mild to moderate hypertension, a comparison between perindopril and enalapril
PubMed ID: 8527353
ACE inhibitor trial showed BP lowering with small serum potassium changes recorded â relevant to BP control and K monitoring.
- [Therapeutic benefit of a low dose of indapamide: results of a double-blind against placebo European controlled study]
PubMed ID: 8572850
Indapamide SR lowered blood pressure in RCT and also showed clear differences in hypokalemia rates, linking BP therapy and potassium status (high relevance to BPâK interaction).
- Conversion from 2.5 mg to 1.25 mg indapamide in patients with mild to moderate hypertension
PubMed ID: 7798068
Dose-reduction of indapamide preserved BP control while causing a smaller drop in serum K â relevant to BP management and K balance.
- Effect of potassium supplementation on blood pressure in African Americans on a low-potassium diet. A randomized, double-blind, placebo-controlled trial
PubMed ID: 8526698
Randomized supplementation (80 mmol/day) produced substantial, statistically significant systolic and diastolic BP reductions.
- Clustering of endothelial markers of vascular damage in human salt-sensitive hypertension: influence of dietary sodium load and depletion
PubMed ID: 9822445
Salt-sensitive subjects had worse vascular markers and albuminuria with sodium changes; implicates Na/K interplay in BP and vascular response.
- Effect of change in sodium excretion on change in blood pressure corrected for measurement error. The Trials of Hypertension Prevention, Phase I
PubMed ID: 9737555
Na/K ratio reduction (after error correction) associated with substantial systolic/diastolic BP decreases over 18 months â direct, quantitative link to K-related physiology and BP.
- Low-dose antihypertensive therapy with 1.5 mg sustained-release indapamide: results of randomised double-blind controlled studies. European study group
PubMed ID: 9856369
Lower-risk indapamide SR preserved potassium while delivering similar BP lowering â evidence linking K status management to antihypertensive therapy tolerability.
- Effects of potassium on blood pressure in salt-sensitive and salt-resistant black adolescents
PubMed ID: 10454438
Dietary K+ supplementation markedly lowered nocturnal diastolic BP and restored normal nocturnal dipping in salt-sensitive adolescents.
- Angiotensin II type 1 (AT1) receptor blockade in hypertensive women: benefits of candesartan cilexetil versus enalapril or hydrochlorothiazide
PubMed ID: 10826401
Hypertension trial noted HCTZ lowered serum potassium significantly while affecting BP; demonstrates interplay between diuretics, K status and BP management.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Shows that patients who maintained normal potassium while on diuretics had substantially fewer cardiovascular events, linking K status to outcomes in antihypertensive therapy.
- Effect of potassium supplementation on blood pressure in Chinese: a randomized, placebo-controlled trial
PubMed ID: 11446724
Randomized trial: 60 mmol KCl/day for 12 weeks produced a clinically meaningful systolic BP reduction (~5 mmHg).
- A comparison of dietary and non-dietary factors of hypertension and normal blood pressure in a Chinese population
PubMed ID: 11464259
Large population survey showing low K intake and higher Na/K ratio associated with hypertensionâstrong epidemiologic link.
- Comparative effects of chronic ACE inhibition and AT1 receptor blocked losartan on cardiac hypertrophy and renal function in hypertensive patients
PubMed ID: 11850771
Enalapril and losartan both reduced BP over 3 years; potassium changes were measuredârelevant to BP and K interactions.
- Decreasing dietary sodium while following a self-selected potassium-rich diet reduces blood pressure
PubMed ID: 14652358
Study of a potassiumârich/lowâsodium diet showed a statistically significant lowering of home systolic BP (~2.5 mmHg) with increased urinary Kâdirect dietary K effect on BP.
- The DASH diet enhances the blood pressure response to losartan in hypertensive patients
PubMed ID: 12745193
DASH dietary pattern (rich in potassium-containing foods) lowered blood pressure and enhanced antihypertensive drug effect; implicates dietary potassium as a likely contributor.
- Assessment of the novel selective aldosterone blocker eplerenone using ambulatory and clinical blood pressure in patients with systemic hypertension
PubMed ID: 12842242
Eplerenone trial showed dose-related BP lowering; serum potassium monitoredâdirect link between RAAS blockade, potassium and BP.
- Antihypertensive and antiproteinuric efficacy of ramipril in children with chronic renal failure
PubMed ID: 15253732
Ramipril lowered MAP substantially in children with CRF; serum potassium rose modestlyâlinks between RAAS therapy, BP control and potassium levels.
- Efficacy of eplerenone versus enalapril as monotherapy in systemic hypertension
PubMed ID: 15081441
Eplerenone and enalapril produced similar BP reductions while modestly raising potassiumârelevant to BP management and K balance.
- Effects of a low dose of indapamide, a diuretic, given daily or every-other-day on blood pressure and metabolic parameters
PubMed ID: 15080372
Lowâdose indapamide markedly lowered BP without significant K changeârelevant to BP management and K monitoring.
- Lack of anti-ischemic efficacy of the potassium channel opener bimakalim in patients with stable angina pectoris
PubMed ID: 15115902
Selective K+ channel opener lowered BP (but caused reflex tachycardia); mechanistic relevance to vascular smooth muscle K conductance.
- Effects of drospirenone/17-beta estradiol on blood pressure and potassium balance in hypertensive postmenopausal women
PubMed ID: 15925739
Drospirenone/estradiol lowered clinic BP in hypertensive postmenopausal women without increasing clinically significant hyperkalemia, showing BP benefit without electrolyte harm.
- Antihypertensive effects of drospirenone with 17beta-estradiol, a novel hormone treatment in postmenopausal women with stage 1 hypertension
PubMed ID: 16186434
Drospirenone/estradiol lowered clinic BP significantly but increased incidence of elevated potassium (relevant BPâpotassium interaction).
- Perindopril/indapamide combination more effective than enalapril in reducing blood pressure and left ventricular mass: the PICXEL study
PubMed ID: 16208150
Perindopril/indapamide (ACE + diuretic) lowered BP more than enalapril; diuretic component affects potassium homeostasis.
- Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men
PubMed ID: 16762939
Replacing salt with potassium-enriched salt produced large reductions in CVD mortality consistent with BP-lowering effects of reduced Na/increased K.
- Efficacy and safety of 24 weeks of therapy with bendroflumethiazide 1.25 mg/day or 2.5 mg/day and potassium chloride compared with enalapril 10 mg/day and amlodipine 5 mg/day in patients with mild to moderate primary hypertension : a multicentre, randomised, open study
PubMed ID: 17163239
Thiazide plus potassium chloride regimen was effective for BP control; potassium was given but BP lowering mainly due to antihypertensive drugs.
- Randomized, placebo-controlled trial of the effects of drospirenone-estradiol on blood pressure and potassium balance in hypertensive postmenopausal women receiving hydrochlorothiazide
PubMed ID: 17224857
Adding drospirenoneâestradiol to HCTZ lowered BP and attenuated thiazideâinduced potassium lossâdirect BP and K+ balance relevance.
- Pharmacokinetics and pharmacodynamics of drospirenone-estradiol combination hormone therapy product coadministered with hydrochlorothiazide in hypertensive postmenopausal women
PubMed ID: 17906162
DRSP/E2 with HCTZ raised potassium while lowering BP vs baseline; demonstrates interplay between potassium status and BP control in diuretic-treated women.
- Effects of torcetrapib in patients at high risk for coronary events
PubMed ID: 17984165
Large torcetrapib trial likewise associated decreased potassium with increased systolic BP and worse CV outcomes â evidence of clinical importance of K-BP relation.
- Efficacy and safety of treating stage 2 systolic hypertension with olmesartan and olmesartan/HCTZ: results of an open-label titration study
PubMed ID: 17215657
Olmesartan-based antihypertensive regimen effectively lowered SBP while reporting stable serum potassiumârelevant to interactions between BP therapy and K status.
- Effects of dietary sodium and hydrochlorothiazide on the antiproteinuric efficacy of losartan
PubMed ID: 18272844
Low-sodium diet and thiazide markedly potentiated losartan's BP-lowering effect â electrolyte/NaâK interactions relevant to BP control.
- Blood pressure-lowering efficacy of amiloride versus enalapril as add-on drugs in patients with uncontrolled blood pressure receiving hydrochlorothiazide
PubMed ID: 18855259
Adding enalapril vs amiloride to HCTZ: both increased serum K modestly and affected ambulatory BP â direct BP trial with K data.
- Telmisartan to prevent recurrent stroke and cardiovascular events
PubMed ID: 18753639
Telmisartan after stroke modestly lowered BP (and slightly increased K) â direct BP effect with K safety signal.
- Cholesteryl ester transfer protein inhibition, high-density lipoprotein raising, and progression of coronary atherosclerosis: insights from ILLUSTRATE (Investigation of Lipid Level Management Using Coronary Ultrasound to Assess Reduction of Atherosclerosis by CETP Inhibition and HDL Elevation)
PubMed ID: 19029466
Torcetrapib lowered serum potassium slightly and raised BP with adverse outcomes; shows that perturbations in potassium homeostasis can accompany BP changes (adverse signal).
- Cholesteryl ester transfer protein inhibitor torcetrapib and off-target toxicity: a pooled analysis of the rating atherosclerotic disease change by imaging with a new CETP inhibitor (RADIANCE) trials
PubMed ID: 19029469
Torcetrapib was associated with increased blood pressure and lower serum potassium, indicating important links between K+ homeostasis and BP regulation (adverse offâtarget effect).
- Differential associations of dietary sodium and potassium intake with blood pressure: a focus on pulse pressure
PubMed ID: 19462490
Large community study found higher dietary potassium associated with lower systolic/diastolic BPâstrong direct evidence of BP support.
- Candesartan improves blood pressure control and reduces proteinuria in renal transplant recipients: results from SECRET
PubMed ID: 19887503
Candesartan improved blood pressure control in renal transplant recipients; serum potassium reported as safety â strong BP relevance.
- Comparison of effects of low dose of spironolactone and a thiazide diuretic in patients with hypertension treated with an angiotensin-converting enzyme inhibitor or an angiotensin type 1 receptor blocker
PubMed ID: 20001457
Addition of spironolactone or thiazide to ACEi/ARB lowered BP; spironolactone reduced albuminuria â direct BP benefit with potassium safety data.
- Effect of angiotensin II type-1 receptor blockers on stable allograft kidneys: prospective randomized study
PubMed ID: 19765449
Losartan lowered systolic BP in renal transplant recipients; potassium measured but not significantly changed.
- Antihypertensive efficacy and tolerability of aliskiren/hydrochlorothiazide (HCT) single-pill combinations in patients who are non-responsive to HCT 25 mg alone
PubMed ID: 19245300
Aliskiren+HCT improved BP control vs HCT alone and reduced hypokalemia incidence â relevant to BP and potassium balance.
- Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study
PubMed ID: 20101007
DASH diet raised urinary potassium and produced large, clinically meaningful BP reductionsâstrongest supportive evidence that increased dietary potassium (within diet) relates to BP lowering.
- Effective antihypertensive strategies for high-risk patients with diabetic nephropathy
PubMed ID: 21030879
Maximizing ACEI-based therapy directly lowered blood pressure; potassium monitoring was required â shows BP benefit with potassium-related safety considerations.
- Long-term results of a prospective, randomized trial comparing retroperitoneoscopic partial versus total adrenalectomy for aldosterone producing adenoma
PubMed ID: 21419437
Adrenalectomy for aldosteroneâproducing adenoma normalized aldosterone and BP and removed need for potassium supplements, linking K physiology to BP control.
- Clinical significance of incident hypokalemia and hyperkalemia in treated hypertensive patients in the antihypertensive and lipid-lowering treatment to prevent heart attack trial
PubMed ID: 22431578
Abnormal potassium levels in a large treated hypertensive cohort were associated with different cardiovascular risks â implicates K homeostasis in BP-treated populations.
- Serum potassium predicts time to blood pressure response among African Americans with hypertensive nephrosclerosis
PubMed ID: 23151750
Higher baseline serum K in hypertensive nephrosclerosis predicted faster achievement of BP targets and fewer medications.
- Increased dietary sodium is independently associated with greater mortality among prevalent hemodialysis patients
PubMed ID: 22418981
Na:K dietary ratios associated with mortality in dialysis patients; implicates Na/K balance in BP-related risk (indirect).
- A randomised controlled trial evaluating the effect of potassium supplementation on vascular function and the renin-angiotensin-aldosterone system
PubMed ID: 24048291
Randomized KCl (64 mmol/day) lowered peripheral and central BP (~â5.3 mmHg); direct strong evidence that K supports BP control.
- Aliskiren improves vascular smooth muscle function in the skin microcirculation of type 2 diabetic patients with normal renal function
PubMed ID: 23670354
Aliskiren modestly lowered BP in T2DM without causing hyperkalemia; relevant to BP control and interplay with potassium.
- A large-scale cluster randomized trial to determine the effects of community-based dietary sodium reduction--the China Rural Health Initiative Sodium Reduction Study
PubMed ID: 24176436
Large salt-substitute (KCl) trial protocol designed to lower sodium and increase potassium intake to reduce BP â highly relevant to K+-mediated BP effects (protocol only).
- Long-term effects of addition of mineralocorticoid receptor antagonist to angiotensin II receptor blocker in patients with diabetic nephropathy: a randomized clinical trial
PubMed ID: 24009294
Spironolactone added to ARB substantially lowered BP in diabetic nephropathy patients â clear BP benefit though accompanied by hyperkalemia risk.
- Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects
PubMed ID: 24125483
Six weeks of spironolactone lowered systolic BP in obese adults without raising K â supports BP lowering independent of hyperkalemia in short term.
- Effect of salt intake and potassium supplementation on serum renalase levels in Chinese adults: a randomized trial
PubMed ID: 25058146
Human supplementation study: short-term K supplement during high-salt intake lowered blood pressure compared with high-salt alone.
- Effects of the DASH Diet and Walking on Blood Pressure in Patients With Type 2 Diabetes and Uncontrolled Hypertension: A Randomized Controlled Trial
PubMed ID: 26041459
DASH diet plus increased walking raised urinary potassium and produced clinically significant reductions in ambulatory blood pressure in diabetics with uncontrolled hypertension.
- Effects of sodium and potassium supplementation on blood pressure and arterial stiffness: a fully controlled dietary intervention study
PubMed ID: 25673113
Controlled dietary potassium supplementation lowered 24âh ambulatory blood pressure (~ â3.9/â1.6 mmHg), a direct BP benefit.
- Effects of sodium and potassium supplementation on endothelial function: a fully controlled dietary intervention study
PubMed ID: 26343780
Potassium supplementation improved endothelial function (FMD) and reduced an inflammatory marker in adults with elevated BPâmechanistically and clinically supportive of BP and vascular health.
- Corn silk aqueous extracts and intraocular pressure of systemic and non-systemic hypertensive subjects
PubMed ID: 25727941
Corn silk extract (high K content proposed) lowered BP acutely; authors attribute effect partly to potassiumâmediated diuresis (indirect evidence).
- Sodium Intake and All-Cause Mortality Over 20 Years in the Trials of Hypertension Prevention
PubMed ID: 27712772
TOHP-derived analysis: higher sodium and higher sodium:potassium ratio associated with increased longâterm mortality; supports K's role in cardiometabolic risk including BP.
- Effectiveness of Chlorthalidone Plus Amiloride for the Prevention of Hypertension: The PREVER-Prevention Randomized Clinical Trial
PubMed ID: 27965209
Chlorthalidone+amiloride (amiloride Kâsparing) halved incident hypertension risk and produced small potassium changesâdirect BP trial with Kârelevant drug.
- Does education level affect the efficacy of a community based salt reduction program? - A post-hoc analysis of the China Rural Health Initiative Sodium Reduction Study (CRHI-SRS)
PubMed ID: 27515930
Saltâsubstitution program increased urinary K and improved Na/K ratioâpopulationâlevel BP relevance (K raises associated with BP benefits).
- Effectiveness of chlorthalidone/amiloride versus losartan in patients with stage I hypertension: results from the PREVER-treatment randomized trial
PubMed ID: 26938814
Diuretic regimen (chlorthalidone/amiloride) modestly outperformed losartan on BP; diuretic arm had characteristic K changesâagain highlights K relevance to BP therapy.
- Treatment with patiromer decreases aldosterone in patients with chronic kidney disease and hyperkalemia on renin-angiotensin system inhibitors
PubMed ID: 27350174
Patiromer lowered K and was associated with SBP/DBP reductions in CKD patientsâlinking K management to BP effects.
- Rationale, design, and baseline characteristics of the Salt Substitute and Stroke Study (SSaSS)-A large-scale cluster randomized controlled trial
PubMed ID: 28577665
Large cluster RCT design uses potassiumâcontaining salt substitute to reduce stroke and major CV events via BP lowering (protocol/powering paper).
- The Effect of Salt Intake and Potassium Supplementation on Serum Gastrin Levels in Chinese Adults: A Randomized Trial
PubMed ID: 28420122
Controlled dietary trial showed potassium supplementation lowered blood pressure responses to high saltâdirect randomized evidence linking potassium intake to BP.
- Effect of eplerenone in patients with heart failure and reduced ejection fraction: potential effect modification by abdominal obesity. Insight from the EMPHASIS-HF trial
PubMed ID: 28303624
Eplerenone (an MRA) trial reduced outcomes and monitored serum potassiumârelevant to BP/cardiometabolic therapy and potassium safety.
- Fixed Low-Dose Triple Combination Antihypertensive Medication vs Usual Care for Blood Pressure Control in Patients With Mild to Moderate Hypertension in Sri Lanka: A Randomized Clinical Trial
PubMed ID: 30120478
Fixed lowâdose triple pill (includes a thiazide) markedly improved BP control â diuretics interact with K+ but primary effect is BP lowering.
- A randomized trial of the efficacy and safety of azilsartan medoxomil combined with chlorthalidone
PubMed ID: 30175930
Adding azilsartan to chlorthalidone yielded larger BP reductions and reduced diureticâassociated hypokalemia â directly relevant to BP and K+.
- A randomized, double-blind clinical trial of canrenone vs hydrochlorothiazide in addition to angiotensin II receptor blockers in hypertensive type 2 diabetic patients
PubMed ID: 30197501
Canrenone and HCTZ lowered BP similarly but had different effects on potassium and metabolic markers; relevant to BP and K+.
- Effects of salt substitute on home blood pressure differs according to age and degree of blood pressure in hypertensive patients and their families
PubMed ID: 29400576
Randomized saltâsubstitute (low Na+, high K+) in hypertensives produced modest but clinically meaningful systolic BP reductions.
- Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy
PubMed ID: 29753370
ARB+spironolactone lowered albuminuria and affected BP; also increased serum K+ â relevant to BP/K interplay.
- Effect of Salt Intake on the Serum Cardiotrophin-1 Levels in Chinese Adults
PubMed ID: 30408810
Short saltâmanipulation trial showed CTâ1 changes tracked with BP and correlated with urinary Na/K ratio, linking potassium excretion ratio and BP.
- Mediterranean-Style Diet Improves Systolic Blood Pressure and Arterial Stiffness in Older Adults
PubMed ID: 30636547
Large RCT: tailored Mediterranean-style diet increased urinary potassium and produced a clinically meaningful ~5.5 mmHg systolic BP reductionâstrong evidence linking higher potassium intake with BP lowering.
- A Prospective Single-Blind Randomized Trial of Ramipril, Eplerenone and Their Combination in Type 2 Diabetic Nephropathy
PubMed ID: 32998143
Eplerenone (mineralocorticoid antagonist) in diabetics lowered UACR and systolic BP â relevant to BP control.
- Effect of losartan on the recoverability of renal function in anuric and oliguric patients with a solitary obstructed kidney: a double-blind randomized placebo-controlled trial
PubMed ID: 32648662
Losartan (as the potassium salt) is an ARB that improves BP and renal outcomes â direct BP relevance (potassium salt form incidental).
- Effect of salt substitution on community-wide blood pressure and hypertension incidence
PubMed ID: 32066973
Pragmatic Peru trial: replacing household salt with 25% KCl salt substitute produced modest SBP/DBP reductions and halved incident hypertension â direct BP benefit of increased K intake.
- Clinical outcomes of laparoscopic-based renal denervation plus adrenalectomy vs adrenalectomy alone for treating resistant hypertension caused by unilateral aldosterone-producing adenoma
PubMed ID: 32812324
Treatment of primary aldosteronism (adrenalectomy Âą RDN) normalized K and produced large BP reductions â demonstrates K normalization accompanies BP control in hyperaldosteronism.
- Effect of Salt Substitution on Cardiovascular Events and Death
PubMed ID: 34459569
Large clusterâRCT: KCl salt substitute significantly reduced stroke/MACE/death and is known to lower BP at population level through increased K and reduced Na.
- Feasibility of Low-Sodium, High-Potassium Processed Foods and Their Effect on Blood Pressure in Free-Living Japanese Men: A Randomized, Double-Blind Controlled Trial
PubMed ID: 34684498
LowâNa, highâK processed meals modestly lowered systolic BP and raised urinary K in freeâliving men.
- Effects of a reduced-sodium added-potassium salt substitute on blood pressure in rural Indian hypertensive patients: a randomized, double-blind, controlled trial
PubMed ID: 33782684
Large RCT: KClâcontaining salt substitute lowered systolic and diastolic BP and increased urinary K.
- A Randomized Pilot Study of DASH Patterned Groceries on Serum Urate in Individuals with Gout
PubMed ID: 33562216
DASH groceries (a Kârich dietary pattern) reduced serum urate and urinary sodium and conceptually supports BP control.
- Phase 2 Trial of Baxdrostat for Treatment-Resistant Hypertension
PubMed ID: 36342143
Baxdrostat produced dose-related and substantial SBP reductions in resistant hypertension; also affected potassium in some patients.
- Effect of sodium reduction based on the DASH diet on blood pressure in hypertensive patients with type 2 diabetes
PubMed ID: 35388704
Low-sodium DASH-based diet increased potassium intake and produced meaningful SBP/DBP reductions in hypertensive diabetics.
- Results from a phase 1, randomized, double-blind, multiple ascending dose study characterizing the pharmacokinetics and demonstrating the safety and selectivity of the aldosterone synthase inhibitor baxdrostat in healthy volunteers
PubMed ID: 36266539
Baxdrostat multiple-dose PD study showed aldosterone suppression and BP-relevant pharmacodynamics with modest K changes.
- Short-Term Changes in Serum Potassium and the Risk of Subsequent Vascular Events and Mortality: Results from a Randomized Controlled Trial of ACE Inhibitors
PubMed ID: 35896277
ACE-inhibitor analyses included potassium changes and reinforced cardiovascular/renal benefits; BP effects and K interplay documented.
- A Town-Level Comprehensive Intervention Study to Reduce Salt Intake in China: Cluster Randomized Controlled Trial
PubMed ID: 36364960
Cluster RCT showed modest urinary K increase with a community program and a significant systolic BP reduction (direct, populationâlevel evidence).
- Cost-Effectiveness of a Household Salt Substitution Intervention: Findings From 20 995 Participants of the Salt Substitute and Stroke Study
PubMed ID: 35311346
Large randomized trial of potassiumâenriched salt substitute showed significant stroke reduction via population BP lowering â strong direct evidence linking added K+ to BP/vascular outcomes.
- Online prediction model for primary aldosteronism in patients with hypertension in Chinese population: A two-center retrospective study
PubMed ID: 35983513
Diagnostic model study highlights hypokalemia as a disease marker in hypertensive patients (primary aldosteronism) â links K status with blood pressure pathophysiology.
- Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial
PubMed ID: 37055566
Large RCT replacing salt with a K-containing substitute lowered systolic BP ~7 mmHg and reduced CV events while increasing serum K â strong direct evidence.
- Effects of a low-sodium diet in patients with idiopathic hyperaldosteronism: a randomized controlled trial
PubMed ID: 37152926
Dietary sodium reduction in aldosterone excess raised serum K and produced meaningful BP lowering in two weeks â direct link between dietary sodium/K and BP.
- Empowerment-based nutrition interventions on blood pressure: a randomized comparative effectiveness trial
PubMed ID: 38026295
Behavioral salt-reduction and lifestyle programs increased urinary K and produced clinically meaningful BP reductions (especially in highânormal/hypertensive subgroup).
- A novel clinical-imaging nomogram for predicting primary aldosteronism in patients with hypertension
PubMed ID: 37488299
Model for primary aldosteronism used 24âh urine K and hypokalemia history; primary aldosteronism is a key cause of secondary hypertension linking K+ to BP control.
- Adherence to the Mediterranean Diet, Sodium and Potassium Intake in People at a High Risk of Dementia
PubMed ID: 38794657
Higher measured dietary potassium (24âh urine) in adherent Mediterranean-diet participants â dietary K is linked to BP regulation.
- The effect of salt substitution on frequency and severity of headache: results from the SSaSS cluster-randomised controlled trial of 20,995 participants
PubMed ID: 38402353
Large RCT: household Kâenriched salt increased urinary K by ~25 mmol and produced ~3.4 mmHg lower mean SBPâstrong direct evidence linking K intake to BP lowering.
- Contribution of plasma levels of VEGF-A and angiopoietin-2 in addition to a genetic variant in KCNAB1 to predict the risk of bevacizumab-induced hypertension
PubMed ID: 38992025
KCNAB1 K+ channel genetic variant associated with bevacizumab-induced hypertension â links potassium channel biology to BP regulation.
- Secondary Analysis of the Salt Substitute and Stroke Study (SSaSS): Effects of Potassium-Enriched Salt on Cardiac Outcomes
PubMed ID: 38465623
Same large trial showed reductions in cardiovascular events with Kâenriched salt; BP lowering likely mediates benefit.
- Effects of Reduced Dietary Sodium and the DASH Diet on GFR: The DASH-Sodium Trial
PubMed ID: 38326949
Controlled diet study (DASH and sodium changes) demonstrates BP effects of diets rich in potassium (DASH) and sodium lowering.
- Efficacy and Safety of Baxdrostat in Uncontrolled and Resistant Hypertension
PubMed ID: 40888730
Baxdrostat produced clinically important SBP reductions while altering potassium â strong BP effect with K safety tradeoffs.
- Salt Substitution and Recurrent Stroke and Death: A Randomized Clinical Trial
PubMed ID: 39908026
Large RCT: potassiumâcontaining salt reduced systolic BP modestly and lowered recurrent stroke and death.
- Effect of low-sodium, potassium-rich salt based on the Chinese modified DASH diet on home blood pressure monitoring in patients with hypertension and type 2 diabetes: a clinical trial
PubMed ID: 40504011
Lowâsodium, potassiumâcontaining salts in a modified DASH diet substantially lowered home BP â direct intervention evidence.
- "Minimal-Advice" on Salt Intake: Results of a Multicentre Pilot Randomised Controlled Trial on Hypertensive Patients
PubMed ID: 39883400
Brief counseling increased urinary K and produced small BP improvements in hypertensive patients (pilot RCT).
- Effect of Salt Reduction Interventions in Lowering Blood Pressure and Salt Intake in Zhejiang Province, China, 2017-2021: A Randomized Controlled Trial
PubMed ID: 40077763
Large community saltâreduction program increased potassium intake and modestly lowered BP across communities.
- Consistency of Blood Pressure Response to Potassium-Enriched Salt in the China Salt Substitute Study
PubMed ID: 41263071
Randomized trial: potassiumâenriched salt produced a consistent modest populationâlevel SBP lowering (~â3.7 mmHg) â strong direct evidence.
- Effect of sodium-reduced potassium-enriched salt substitutes on stomach cancer: the Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 40264179
Large randomized trial of a sodiumâreduced, potassiumâenriched salt substitute produced meaningful BP and CV benefitsâdirect and strong evidence.
- Effects of salt substitution on cumulative blood pressure: a secondary analysis of the SSaSS
PubMed ID: 40148710
Fiveâyear cluster RCT of potassium-enriched salt substitute showed consistent longâterm systolic BP reductionsâdirect highâquality evidence.
- The Effects of a Whole-Food Plant-Based Nutrition Education Program on Blood Pressure and Potassium in Chronic Kidney Disease: A Proof-of-Concept Study
PubMed ID: 40077649
Plantâbased intervention increasing dietary K produced clinically meaningful systolic BP reduction in CKD patients (pilot RCT).
- Changes in natriuretic peptide levels following patiromer-enabled optimization of medical therapy in heart failure: A post hoc analysis of the DIAMOND study
PubMed ID: 40607983
Patiromer-enabled RAASi uptitration may allow better BP/HF therapy while controlling Kâsupportive evidence for BP/therapy optimization.
- Diet quality, unprocessed plant-based foods, and vascular function in adults with CKD: Secondary analysis of a pilot randomized clinical trial
PubMed ID: 40528445
Higher plantâbased K intake associated with lower arterial stiffness, a BP/vascular surrogateâindirect evidence for BP/vascular benefit.
- Aprocitentan in Patients With Chronic Kidney Disease and Resistant Hypertension
PubMed ID: 41363010
Aprocitentan yielded large office and nighttime BP reductions with stable potassiumârelevant to BP control while managing K.
- Home blood pressure-lowering effect of esaxerenone vs trichlormethiazide for uncontrolled hypertension: a prespecified subanalysis of the EXCITE-HT randomized controlled study by age subgroup
PubMed ID: 40189653
Antihypertensive trial showed BP lowering while monitoring potassium elevations as a safety endpointâinformative about K and BP therapy.
- Association of serum potassium time in target range with cardiovascular outcomes in patients with HFpEF
PubMed ID: 40841122
Maintaining serum K in target range associated with fewer CV events â BP mediation plausible but indirect.
- Targeted Outreach by an Insurance Company Improved Dietary Habits and Urine Sodium/Potassium Ratios Among High-Risk Individuals with Lifestyle-Related Diseases
PubMed ID: 40647256
Education increased dietary K and lowered urine Na/K ratio â a dietary Na/K shift known to reduce BP; study directly measured urine Na/K.
- Effect of N-terminal pro B-type natriuretic peptide levels on the efficacy and safety of esaxerenone vs trichlormethiazide for the treatment of Japanese patients with uncontrolled essential hypertension: a subanalysis of the EXCITE-HT study
PubMed ID: 41203854
Esaxerenone trial lowered home BP; potassium elevations were infrequent but monitored â directly relevant to antihypertensive therapy and K+ effects.
Detoxification (228)
- Effects of dietary sodium and hydrochlorothiazide on the antiproteinuric efficacy of losartan
PubMed ID: 18272844
Dietary sodium reduction and thiazide enhanced losartan's antiproteinuric effect â renal-protective interventions (electrolyte interplay relevant).
- The comparison of the diuretic and natriuretic efficacy of continuous and bolus intravenous furosemide in patients with chronic kidney disease
PubMed ID: 18315706
CKD patients receiving continuous vs bolus furosemide had measured urinary K+ (no significant change) and natriuresis differences; directly relevant to renal K+ handling and diuretic effects.
- Effects of dual blockade of renin-angiotensin system in type 2 diabetes mellitus patients with diabetic nephropathy
PubMed ID: 19459520
ARB added to ACE inhibitor in diabetic nephropathy primarily targeted renal outcomes; serum potassium reported as safetyâdirect renal context.
- Candesartan improves blood pressure control and reduces proteinuria in renal transplant recipients: results from SECRET
PubMed ID: 19887503
Renal transplant recipients trial: candesartan improved proteinuria and reported potassium rises as safetyâdirect kidney context.
- Comparison of effects of low dose of spironolactone and a thiazide diuretic in patients with hypertension treated with an angiotensin-converting enzyme inhibitor or an angiotensin type 1 receptor blocker
PubMed ID: 20001457
Adding spironolactone reduced albuminuria without significant potassium increase; trial conducted in context of renal/cardio-renal outcomes.
- Supramaximal dose of candesartan in proteinuric renal disease
PubMed ID: 19211712
High-dose ARB in proteinuric renal disease produced clinically important hyperkalemia, directly linking potassium homeostasis to renal patient safety and kidney-related outcomes.
- Impact of baseline renal function on the efficacy and safety of aliskiren added to losartan in patients with type 2 diabetes and nephropathy
PubMed ID: 20693353
Aliskiren added to losartan reduced albuminuria but substantially increased hyperkalemia risk in CKD patients â directly relevant to renal potassium handling and safety.
- Effective antihypertensive strategies for high-risk patients with diabetic nephropathy
PubMed ID: 21030879
ACEI-based optimization reduced BP and albuminuria but required potassium monitoring due to hyperkalemia events â relevant to kidney management.
- Increased serum potassium affects renal outcomes: a post hoc analysis of the Reduction of Endpoints in NIDDM with the Angiotensin II Antagonist Losartan (RENAAL) trial
PubMed ID: 20882268
Direct evidence that ARB-associated serum potassium increases (even modest) are independently associated with worse renal outcomes in diabetic nephropathy.
- Therapeutic effects of potassium sodium hydrogen citrate on melamine-induced urinary calculi in China
PubMed ID: 20529547
Potassium sodium hydrogen citrate increased urinary stone expulsion rate/time â direct clinical benefit for urinary tract/kidney stone clearance.
- Angiotensin converting enzyme inhibitor use soon after renal transplantation: a randomized, double-blinded placebo-controlled safety study
PubMed ID: 21158922
Early post-transplant ACE inhibitor use associated with increases in potassium and creatinine endpoints â highlights potassium-related renal safety concerns.
- Renal function in outpatients with chronic heart failure
PubMed ID: 20447572
Study in chronic heart failure linked spironolactone use (potassium-sparing) to impaired renal function, relevant to kidney-wellness considerations.
- Evaluation of the efficacy and safety of RLY5016, a polymeric potassium binder, in a double-blind, placebo-controlled study in patients with chronic heart failure (the PEARL-HF) trial
PubMed ID: 21208974
RLY5016 directly reduced serum potassium and hyperkalaemia incidence in patients starting spironolactone, enabling safe uptitration of reninâangiotensinâaldosterone therapies â clinically meaningful for renal patients.
- Role of combined use of potassium citrate and tamsulosin in the management of uric acid distal ureteral calculi
PubMed ID: 21858663
Potassium citrate (UralytâU) significantly increased distal ureteral stone passageâclinically relevant to urinary tract/kidney stone management.
- Analysis of baseline parameters in the HALT polycystic kidney disease trials
PubMed ID: 22205355
Large observational ADPKD analysis links serum/urine potassium measures to kidney function and disease stageâdirectly relevant to renal K physiology.
- Moderate antiproteinuric effect of add-on aldosterone blockade with eplerenone in non-diabetic chronic kidney disease. A randomized cross-over study
PubMed ID: 22073219
Eplerenone reduced albuminuria in CKD but caused a small potassium riseâshows interplay between therapies, kidney benefit and K handling.
- Clinical significance of incident hypokalemia and hyperkalemia in treated hypertensive patients in the antihypertensive and lipid-lowering treatment to prevent heart attack trial
PubMed ID: 22431578
Associations between abnormal K and worse outcomes in treated hypertensives â relevant to renal/cardiorenal risk.
- Cardiorenal end points in a trial of aliskiren for type 2 diabetes
PubMed ID: 23121378
Aliskiren added to ACEi/ARB increased clinically important hyperkalaemia in highârisk diabetics (renal/cardiorenal population) â safety signal for kidney/potassium balance.
- Net endogenous acid production is associated with a faster decline in GFR in African Americans
PubMed ID: 22475819
Direct observational link: higher potassium intake (lower NEAP) associated with slower GFR decline in hypertensive CKD patients.
- Serum potassium predicts time to blood pressure response among African Americans with hypertensive nephrosclerosis
PubMed ID: 23151750
In hypertensive nephrosclerosis, higher serum K predicted faster BP control and fewer medsâdirectly relevant to renal disease management.
- Increased dietary sodium is independently associated with greater mortality among prevalent hemodialysis patients
PubMed ID: 22418981
Dietary Na and Na:K ratios predicted mortality in hemodialysis patientsâstrong link between K intake/balance and kidney patient outcomes.
- Efficacy and hemodynamic outcome of prolonged intermittent renal replacement therapy (PIRRT) in critically ill patients: a preliminary report
PubMed ID: 22574560
PIRRT effectively lowered serum K in critically ill AKI patientsârelevant to acute renal potassium management.
- Effect of health contract intervention on renal dialysis patients in Korea
PubMed ID: 23107436
Behavioral contract lowered serum K and interdialytic weight gain in dialysis patientsârelevant to kidney-care outcomes.
- Safety and tolerability of the novel non-steroidal mineralocorticoid receptor antagonist BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double-blind trial
PubMed ID: 23713082
BAY 94â8862 raised serum K less than spironolactone and caused less renal worsening in HFrEF with CKDâpertinent to K safety in renal patients.
- Partial genetic deficiency in tissue kallikrein impairs adaptation to high potassium intake in humans
PubMed ID: 23760292
Genetic kallikrein defect impaired renal adaptation to a high-K diet and raised plasma K, showing renal handling importance.
- Effect of spironolactone on diastolic function and exercise capacity in patients with heart failure with preserved ejection fraction: the Aldo-DHF randomized controlled trial
PubMed ID: 23443441
Spironolactone modestly increased K and reduced eGFR in HFpEFâshows clinical K changes impacting renal function.
- Safety and efficacy of eplerenone in patients at high risk for hyperkalemia and/or worsening renal function: analyses of the EMPHASIS-HF study subgroups (Eplerenone in Mild Patients Hospitalization And SurvIval Study in Heart Failure)
PubMed ID: 23810881
Eplerenone in HF raised serum potassium and increased hyperkalemia events; directly relevant to renal K+ handling and safety.
- Incidence, determinants, and prognostic significance of hyperkalemia and worsening renal function in patients with heart failure receiving the mineralocorticoid receptor antagonist eplerenone or placebo in addition to optimal medical therapy: results from the Eplerenone in Mild Patients Hospitalization and Survival Study in Heart Failure (EMPHASIS-HF)
PubMed ID: 24297687
Large trials showing eplerenone-associated persistent rise in serum K and eGFR decline â directly informs potassium-related kidney safety.
- Race influences the safety and efficacy of spironolactone in severe heart failure
PubMed ID: 23940307
Spironolactone raised potassium differentially and increased hyperkalemia incidenceârelevant to renal safety and monitoring.
- Risk of hyperkalemia in patients with moderate chronic kidney disease initiating angiotensin converting enzyme inhibitors or angiotensin receptor blockers: a randomized study
PubMed ID: 23915518
ACEI/ARB in stageâ3 CKD raised serum potassium and caused notable hyperkalemia risk â directly relevant to kidney patients and potassium safety.
- A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate
PubMed ID: 23393104
Fruits/vegetables or bicarbonate improved metabolic acidosis and kidney injury markers in stage 4 CKD without raising potassium â relevant to dietary potassium/alkali and kidney outcomes.
- Long-term effects of addition of mineralocorticoid receptor antagonist to angiotensin II receptor blocker in patients with diabetic nephropathy: a randomized clinical trial
PubMed ID: 24009294
Adding spironolactone to ARB in diabetic nephropathy markedly reduced proteinuria but led to some asymptomatic hyperkalemia â strong kidney relevance.
- Switching tenofovir/emtricitabine plus lopinavir/r to raltegravir plus Darunavir/r in patients with suppressed viral load did not result in improvement of renal function but could sustain viral suppression: a randomized multicenter trial
PubMed ID: 23951362
Switching off tenofovir reduced a tubular injury marker though not eGFR â modest renal relevance, potassium not primary outcome.
- Prevention of contrast-induced nephropathy with Na/K citrate
PubMed ID: 23349296
Oral Na/K citrate significantly reduced contrastâinduced nephropathy incidence (direct, highârelevance potassiumâcontaining intervention).
- Patiromer in patients with kidney disease and hyperkalemia receiving RAAS inhibitors
PubMed ID: 25415805
Patiromer trial in CKD demonstrates clinically important manipulation of serum K and prevention of recurrent hyperkalemia â directly relevant to kidney patient potassium management.
- Potassium handling with dual renin-angiotensin system inhibition in diabetic nephropathy
PubMed ID: 24408116
Spironolactone in diabetic nephropathy raised serum K more than losartan â directly documents potassium effects in kidney disease context (safety/handling implications).
- Dissolution therapy versus shock wave lithotripsy for radiolucent renal stones in children: a prospective study
PubMed ID: 24679880
Oral potassium-containing citrate therapy medically dissolved many radiolucent renal stones and avoided lithotripsy in most childrenâdirect kidney benefit from a potassium salt.
- Effect of Patiromer on Serum Potassium Level in Patients With Hyperkalemia and Diabetic Kidney Disease: The AMETHYST-DN Randomized Clinical Trial
PubMed ID: 26172895
Patiromer produced sustained reductions in serum potassium over 52 weeks in patients with diabetic kidney disease, directly relevant to kidney-patient electrolyte management.
- A phase 2 study on the treatment of hyperkalemia in patients with chronic kidney disease suggests that the selective potassium trap, ZS-9, is safe and efficient
PubMed ID: 25651363
ZS-9 lowered serum potassium in CKD patients with hyperkalemia (large, randomized trial), directly relevant to renal electrolyte management.
- Long-Term Effects of Low-Dose Spironolactone on Chronic Dialysis Patients: A Randomized Placebo-Controlled Study
PubMed ID: 26224543
Lowâdose spironolactone reduced CV events in dialysis patients; relates to potassiumâsparing therapy in renal population (indirect kidney relevance).
- Urine Potassium Excretion, Kidney Failure, and Mortality in CKD
PubMed ID: 27233381
CKD cohort: higher urinary K (intake) associated with lower all-cause mortality; directly measured K excretion in CKD context (relevant to renal patient outcomes).
- The impact of oat (Avena sativa) consumption on biomarkers of renal function in patients with chronic kidney disease: A parallel randomized clinical trial
PubMed ID: 28003041
In CKD patients, added oats modestly prevented a small rise in serum K seen in controls, directly measuring serum potassium in a renal population.
- Treatment with patiromer decreases aldosterone in patients with chronic kidney disease and hyperkalemia on renin-angiotensin system inhibitors
PubMed ID: 27350174
Patiromer (K binder) in CKD lowered serum K and was associated with reduced aldosterone, BP and albuminuriaâdirect renal relevance.
- Na/K citrate versus sodium bicarbonate in prevention of contrast-induced nephropathy
PubMed ID: 27215244
Na/K citrate (alkalinizing, contains K) preserved serum K slightly after contrast and was studied for contrastâinduced nephropathy prevention.
- A Trial of Extending Hemodialysis Hours and Quality of Life
PubMed ID: 28151412
Extended hemodialysis hours produced measurable changes in serum potassium (decrease) in an RCTâdirect relevance to potassium handling in renal patients.
- Probiotic Supplementation in Chronic Kidney Disease: A Double-blind, Randomized, Placebo-controlled Trial
PubMed ID: 28888762
Probiotic supplementation in hemodialysis patients increased serum potassium significantlyârelevant to kidneyâpatient potassium homeostasis.
- Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis
PubMed ID: 29198641
A selfâmanagement program in hemodialysis patients improved serum potassium controlâpractical evidence for kidneyâpatient potassium management.
- Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy
PubMed ID: 29753370
Highâdose ARB + spironolactone reduced albuminuria but caused significant serum potassium rises â directly relevant to renal outcomes and K+ homeostasis.
- Effect of Patiromer in Hyperkalemic Patients Taking and Not Taking RAAS Inhibitors
PubMed ID: 30103622
Patiromer lowered and maintained serum potassium in hyperkalemic patients (including those with CKD), directly relevant to kidneyârelated potassium management.
- Long-term effects of patiromer for hyperkalaemia treatment in patients with mild heart failure and diabetic nephropathy on angiotensin-converting enzymes/angiotensin receptor blockers: results from AMETHYST-DN
PubMed ID: 29767459
Oneâyear patiromer data in CKD/diabetes showed durable control of serum potassium enabling RAAS inhibitor therapy â directly supports kidney patient management.
- Evaluation of an individualized dose titration regimen of patiromer to prevent hyperkalaemia in patients with heart failure and chronic kidney disease
PubMed ID: 29369537
Patiromer maintained serum K in HF patients with CKD, directly relevant to preserving safe potassium levels in renal impairment.
- A Phase 3b, Randomized, Double-Blind, Placebo-Controlled Study of Sodium Zirconium Cyclosilicate for Reducing the Incidence of Predialysis Hyperkalemia
PubMed ID: 31201218
Sodium zirconium cyclosilicate substantially improved predialysis potassium control in hemodialysis patientsâdirect renal/ESRD context.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): a phase 2, randomised, double-blind, placebo-controlled trial
PubMed ID: 31533906
Patiromer (K+ binder) allowed CKD patients to continue spironolactone by preventing hyperkalemiaâdirectly relevant to kidney patient management.
- Efficacy and safety of sodium zirconium cyclosilicate in patients with baseline serum potassium level ⼠5.5 mmol/L: pooled analysis from two phase 3 trials
PubMed ID: 31791288
Sodium zirconium cyclosilicate rapidly lowers serum K+ in hyperkalemiaâhighly relevant for CKD-related potassium management and kidney safety.
- Patiromer for Treatment of Hyperkalemia in the Emergency Department: A Pilot Study
PubMed ID: 31599043
Patiromer in ED lowered K+ transiently in severe hyperkalemiaâdirect but smaller pilot effect; relevant to acute kidney-related K+ control.
- Esaxerenone (CS-3150) in Patients with Type 2 Diabetes and Microalbuminuria (ESAX-DN): Phase 3 Randomized Controlled Clinical Trial
PubMed ID: 33239409
Esaxerenone substantially reduced albuminuria (kidney benefit) but increased serum K â directly relevant to kidney care and K monitoring.
- Early detection of diabetic kidney disease by urinary proteomics and subsequent intervention with spironolactone to delay progression (PRIORITY): a prospective observational study and embedded randomised placebo-controlled trial
PubMed ID: 32135136
Study in T2D showed spironolactone failed to prevent microalbuminuria and increased hyperkalemia â important for K handling and kidney safety.
- A Prospective Single-Blind Randomized Trial of Ramipril, Eplerenone and Their Combination in Type 2 Diabetic Nephropathy
PubMed ID: 32998143
Eplerenone (with/without ACE inhibitor) reduced albuminuria in diabetics â kidney benefit; serum K remained stable in trial.
- Effect of losartan on the recoverability of renal function in anuric and oliguric patients with a solitary obstructed kidney: a double-blind randomized placebo-controlled trial
PubMed ID: 32648662
Losartan potassium (drug salt) improved renal recovery after obstruction â ARB renal benefit though not due to supplemental K.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK reduced renal complications in cardiac surgery â direct clinical kidney benefit with potassium included in intervention.
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): results in the pre-specified subgroup with heart failure
PubMed ID: 32452085
Patiromer reduced hyperkalemia in CKD patients and allowed more to remain on spironolactone â directly relevant to kidneyâdisease management and safe RAAS therapy.
- Effect of senna glycoside on serum potassium levels among patients on maintenance hemodialysis: A randomized controlled trial
PubMed ID: 38318690
Senna glycoside in HD patients modestly lowered predialysis serum K â relevant to potassium management in kidney disease.
- Patiromer and Spironolactone in Resistant Hypertension and Advanced CKD: Analysis of the Randomized AMBER Trial
PubMed ID: 35369022
Patiromer (potassium binder) enabled continued spironolactone in CKD, directly relevant to managing potassium in kidney disease.
- Oral sodium bicarbonate in people on haemodialysis: a randomised controlled trial
PubMed ID: 34674667
Oral sodium bicarbonate in HD patients reduced interâdialytic K gain and hyperkalaemia frequencyâbeneficial for dialysis patients.
- Effects of canagliflozin on serum potassium in people with diabetes and chronic kidney disease: the CREDENCE trial
PubMed ID: 34423370
Canagliflozin reduced hyperkalaemia events in T2DM+CKD on RAAS inhibitors â clinically meaningful Kârelated kidney outcome.
- Randomised controlled trial of a smartphone application-based dietary self-management program on haemodialysis patients
PubMed ID: 33377565
Smartphone dietary program for hemodialysis patients lowered preâdialysis serum K and improved selfâmanagement and QoL.
- Finerenone Dose-Exposure-Serum Potassium Response Analysis of FIDELIO-DKD Phase III: The Role of Dosing, Titration, and Inclusion Criteria
PubMed ID: 34786651
Large CKD/T2D dataset showing doseâdependent serum potassium increases and hyperkalemia risk â directly relevant to kidney patients and K management.
- A Text Messaging Intervention for Dietary Behaviors for People Receiving Maintenance Hemodialysis: A Feasibility Study of KIDNEYTEXT
PubMed ID: 33421456
Hemodialysis patient dietary program targeted potassium intake and reported reductions â directly relevant to kidney patient K management.
- Patiromer for the management of hyperkalemia in heart failure with reduced ejection fraction: the DIAMOND trial
PubMed ID: 35900838
Patiromer directly manages serum potassium and reduced hyperkalaemia, enabling RAAS therapy in CKD/heart failureâdirectly relevant to kidney care.
- Short-Term Changes in Serum Potassium and the Risk of Subsequent Vascular Events and Mortality: Results from a Randomized Controlled Trial of ACE Inhibitors
PubMed ID: 35896277
Large ACE-inhibitor dataset analyzed early potassium rises and renal/cardiovascular outcomesârelevant to K homeostasis in kidney patients.
- Effects of Ramipril on Biomarkers of Endothelial Dysfunction and Inflammation in Hypertensive Children on Maintenance Hemodialysis: the SEARCH Randomized Placebo-Controlled Trial
PubMed ID: 35686561
Ramipril in hypertensive children on dialysis improved biomarkers without severe hyperkalaemia, relevant to kidney patients and potassium safety.
- Comparison potassium sodium hydrogen citrate with sodium bicarbonate in urine alkalization: a prospective crossover-controlled trial
PubMed ID: 36261757
Potassiumâsodiumâhydrogen citrate produced urinary alkalinization, a renal/urinary effect relevant to stone risk and renal acid handling.
- Potassium responses to sodium zirconium cyclosilicate in hyperkalemic hemodialysis patients: post-hoc analysis of DIALIZE
PubMed ID: 35135481
Sodium zirconium cyclosilicate (SZC) effectively controlled preâdialysis serum K in hemodialysis patients â direct relevance to renal potassium handling.
- Reduction in the magnitude of serum potassium elevation in combination therapy with esaxerenone (CS-3150) and sodium-glucose cotransporterâ2 inhibitor in patients with diabetic kidney disease: Subanalysis of two phaseâIII studies
PubMed ID: 35199478
SGLT2 inhibitors reduced MRBâinduced serum K elevations in diabetic kidney disease â directly relevant to kidney K management.
- Ultrasound dynamic monitoring of IVCD to guide application of CRRT in patients with renal failure combined with acute heart failure
PubMed ID: 35982101
CRRT guided by ultrasound produced large serum K reductions and improved renal/heart failure parameters â relevant to kidney management of K.
- Efficacy and safety of a low-sodium diet and spironolactone in patients with stage 1-3a chronic kidney disease: a pilot study
PubMed ID: 35247964
CKD trial assessed proteinuria with sodium restriction/spironolactone and measured serum K â directly relevant to renal safety and potassium handling.
- Pharmacokinetics and pharmacodynamics of finerenone in patients with chronic kidney disease and type 2 diabetes: Insights based on FIGARO-DKD and FIDELIO-DKD
PubMed ID: 38037539
Finerenone program modeled potassium trajectories and showed potassium management via titration reduced hyperkalaemia risk; directly relevant to kidney therapy safety and benefits.
- Efficacy and Safety of Low-dose Spironolactone for Chronic Kidney Disease in Type 2 Diabetes
PubMed ID: 36916985
Lowâdose spironolactone in CKD reduced albuminuria while producing a modest, monitored potassium rise â directly relevant to kidney disease management and K safety.
- Effects of a low-sodium diet in patients with idiopathic hyperaldosteronism: a randomized controlled trial
PubMed ID: 37152926
Dietary sodium reduction in aldosterone excess raised serum K and improved BP â clinically relevant to K handling in aldosteronism and kidney-related BP control.
- Comparing the effects of mHealth app use and face-to-face training on the clinical and laboratory parameters of dietary and fluid intake adherence in hemodialysis patients: a randomized clinical trial
PubMed ID: 37386428
mHealth program in hemodialysis reduced interdialytic weight gain and lowered serum potassium within groups â direct kidney-patient relevance.
- DIALIZE China: A Phase IIIb, Randomized, Placebo-Controlled Study to Reduce Predialysis Hyperkalemia With Sodium Zirconium Cyclosilicate in Chinese Patients
PubMed ID: 37385905
SZC randomized trial in hemodialysis patients directly improved predialysis K control, a core kidneyâpatient metabolic target.
- A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone
PubMed ID: 37313750
Peritoneal dialysis modality (AâMPD) removed potassium more effectively over 5 days than manual exchanges, relevant to dialysis/kidney care.
- Sodium Zirconium Cyclosilicate for Management of Hyperkalemia During Spironolactone Optimization in Patients With Heart Failure
PubMed ID: 39566872
Sodium zirconium cyclosilicate maintained normokalemia allowing RAAS therapy in HF patients â important in CKD/HF potassium management.
- Patiromer for Heart Failure Medication Optimization in Patients With Current or Past Hyperkalemia: DIAMOND Subanalysis
PubMed ID: 39340493
Patiromer lowered K and allowed continuation/optimization of RAASi in HF patients; K control is crucial for kidney/renal drug management.
- Aldosterone synthase inhibitor (BI 690517) therapy for people with diabetes and albuminuric chronic kidney disease: A multicentre, randomized, double-blind, placebo-controlled, Phase I trial
PubMed ID: 38497241
Aldosterone synthase inhibitor reduced albuminuria (potential kidney benefit) but caused hyperkalaemia, tying K homeostasis to kidney outcomes.
- HARMONIZE Asia: A Phase III Randomized Study to Investigate the Efficacy and Safety of Sodium Zirconium Cyclosilicate in Patients with Hyperkalemia in China
PubMed ID: 39112102
Large SZC trial controlled serum K in hyperkalaemiaâdirectly relevant to renal patient management and safety.
- Oral alkalinizing supplementation suppressed intrarenal reactive oxidative stress in mild-stage chronic kidney disease: a randomized cohort study
PubMed ID: 38872014
Oral potassium-containing citrate raised urine pH and reduced intrarenal oxidative stress markers in mild CKD â direct renal biochemical benefit.
- Patiromer-Facilitated Renin-Angiotensin-Aldosterone System Inhibitor Utilization in Patients with Heart Failure with or without Comorbid Chronic Kidney Disease: Subgroup Analysis of DIAMOND Randomized Trial
PubMed ID: 39159624
Patiromer reduced hyperkalemia events and helped patients remain on RAAS/MRA therapy; relevant to kidney patients vulnerable to hyperkalemia.
- Efficacy and safety of patiromer for non-dialysis and dialysis patients with hyperkalemia: the randomized, placebo-controlled and long-term study
PubMed ID: 39580768
Patiromer durably lowers serum K in hyperkalemia and enabled continued RAASi therapyâimportant for CKD/renal safety and management.
- Balcinrenone in combination with dapagliflozin compared with dapagliflozin alone in patients with chronic kidney disease and albuminuria: a randomised, active-controlled double-blind, phase 2b clinical trial
PubMed ID: 41218621
Novel MRA added to dapagliflozin reduced albuminuria (kidney benefit) but caused small increases in hyperkalemiaâkidney outcome with Kâsafety implications.
- Efficacy and safety of patiromer for hyperkalemia: a randomized, placebo-controlled phase 3 study
PubMed ID: 39976633
Patiromer reliably lowered/maintained serum K and allowed continuation of RAAS inhibitors â direct kidneyâcare relevance.
- Hypokalaemia in patients with type 2 diabetes and chronic kidney disease: the effect of finerenone-a FIDELITY analysis
PubMed ID: 39380152
Finerenone program analysis showed reduced hypokalemia incidence and kidney outcome benefits in CKD/T2D patients â direct renal relevance.
- Potassium quantification and sensory analysis in plant food cooking processes in heart disease patients
PubMed ID: 40681108
Cooking methods that reduce potassium are clinically useful for patients needing dietary K restriction (e.g., CKD).
- Sodium zirconium cyclosilicate versus sodium polystyrene sulfonate for treatment of hyperkalemia in hemodialysis patients: a randomized clinical trial
PubMed ID: 40329202
In hemodialysis patients with hyperkalemia, SZC normalized serum potassium faster than SPS â direct kidneyâpatient electrolyte management.
- Interplay of serum potassium and kidney function with finerenone in heart failure with mildly reduced or preserved ejection fraction: Findings from FINEARTS-HF
PubMed ID: 41039732
Large HF trial post-hoc analysis demonstrated how baseline potassium and eGFR interact with outcomesâimportant for kidney risk stratification and K management.
- The Effects of a Whole-Food Plant-Based Nutrition Education Program on Blood Pressure and Potassium in Chronic Kidney Disease: A Proof-of-Concept Study
PubMed ID: 40077649
Plant-based dietary intervention in CKD increased dietary K without raising serum K and lowered systolic BPâkidneyâspecific dietary potassium data.
- Changes in natriuretic peptide levels following patiromer-enabled optimization of medical therapy in heart failure: A post hoc analysis of the DIAMOND study
PubMed ID: 40607983
Patiromer-enabled RAASi optimisation in HFrEF managed potassium to allow guideline therapyârelevant to kidney/renal safety in RAASi use.
- Diet quality, unprocessed plant-based foods, and vascular function in adults with CKD: Secondary analysis of a pilot randomized clinical trial
PubMed ID: 40528445
In CKD patients, higher unprocessed plant K intake associated with lower arterial stiffnessâsecondary kidneyârelevant vascular benefit.
- Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial
PubMed ID: 40024602
Hemodialysis dietary program produced significant serum potassium changesâdirectly relevant to kidney patient management.
- Aprocitentan in Patients With Chronic Kidney Disease and Resistant Hypertension
PubMed ID: 41363010
Aprocitentan trial in CKD/resistant HTN showed marked antiproteinuric and BP benefits with no meaningful serum potassium riseâdirect kidney-relevant outcomes.
- Controlled potassium reduction using dialysate profiling in hyperkalemic hemodialysis patients: A randomized study
PubMed ID: 41185428
Dialysate twoâphase lowâK profiling directly managed serum K in dialysis patientsâhighly relevant to renal (dialysis) potassium management.
- Spot urinary sodium-guided titration of intravenous diuretic therapy in acute heart failure: a pilot randomized controlled trial
PubMed ID: 38632053
UNaâguided diuretic titration reduced AKI and hypokalemia in acute HF â directly relevant to renal safety and potassium outcomes.
- Factors Influencing the Efficacy of Low-Dose Spironolactone in Adults with Chronic Kidney Disease and Type 2 Diabetes: A post hoc Analysis
PubMed ID: 41391159
Lowâdose spironolactone in diabetic CKD lowered UACR with small potassium changes and explicit renal safety data â K+ handling relevant to kidney care.
- A nomogram to predict hyperkalemia in patients with hemodialysis: a retrospective cohort study
PubMed ID: 36319967
Developed/validated a hyperkalemia prediction nomogram in hemodialysis patients â directly relevant to kidney patients' potassium management and risk stratification.
- Effects of the association of potassium citrate and agropyrum repens in renal stone treatment: results of a prospective randomized comparison with potassium citrate
PubMed ID: 22908773
Randomized trial: potassium citrate (given to both groups) plus herb reduced stone number/size and urinary uric acid â directly relevant to kidney stone management.
- Alkaline citrate reduces stone recurrence and regrowth after shockwave lithotripsy and percutaneous nephrolithotomy
PubMed ID: 22099273
Randomized trial: potassiumâsodium citrate normalized citrate and strongly reduced stone recurrence/growth.
- [The role of thiazides in the prophylaxis of recurrent calcium lithiasis]
PubMed ID: 16749588
Long RCT where thiazide Âą potassium citrate reduced recurrent calcium stone events (potassium citrate contributed to kidney stone prevention).
- Reduction of blood pressure with calcium and potassium supplementation in children with salt sensitivity: a 2-year double-blinded placebo-controlled trial
PubMed ID: 15759021
Calcium+potassium supplementation in saltâsensitive children blunted BP rise and increased sodium excretionâfavorable renal hemodynamic/electrolyte effects.
- The effects of potassium and magnesium supplementations on urinary risk factors of renal stone patients
PubMed ID: 15117041
Direct potassium (citrate/alkali) supplementation in stone patients improved urine chemistry that reduces stone risk.
- Effect of potassium citrate therapy on stone recurrence and residual fragments after shockwave lithotripsy in lower caliceal calcium oxalate urolithiasis: a randomized controlled trial
PubMed ID: 12028622
Randomized trial: oral potassium citrate eliminated stone recurrence after lithotripsyâstrong kidney wellness benefit.
- [Effect of potassium citrate in the prophylaxis of urinary lithiasis]
PubMed ID: 11789361
Potassium citrate after lithotripsy substantially reduced stone recurrence and improved residual stone outcomes.
- [Effect of thiazide therapy in the prophylaxis of calcium lithiasis]
PubMed ID: 11789362
Potassium citrate recommended to prevent thiazide-induced low urinary citrate and reduce stone risk (clinical recommendation context).
- Effects on urinary albumin excretion and renal function changes by delapril and manidipine in normotensive type 2 diabetic patients with microalbuminuria
PubMed ID: 11336083
Antihypertensive therapy lowered microalbuminuria without changing serum K â relevant to renal outcomes where K stability was observed.
- Comparative effects of potassium chloride and bicarbonate on thiazide-induced reduction in urinary calcium excretion
PubMed ID: 10916098
KHCO3 (a potassium salt) reduced urinary calcium and corrected mild dietary acidosisârelevant to stone/bone/kidney outcomes.
- Physiological effects of slow release potassium phosphate for absorptive hypercalciuria: a randomized double-blind trial
PubMed ID: 9720517
Potassium phosphate reduced urinary calcium in absorptive hypercalciuriaâfavorable for renal stone risk.
- Potassium-magnesium citrate is an effective prophylaxis against recurrent calcium oxalate nephrolithiasis
PubMed ID: 9366314
Randomized trial: potassiumâmagnesium citrate dramatically reduced recurrent calcium oxalate stonesâdirect kidney stone prevention.
- [Biochemical effects of potassium citrate in the treatment of calcium oxalate lithiasis]
PubMed ID: 8002670
Potassium citrate markedly raised urinary citrate/pH and halved stoneâformation riskâdirect, strong evidence for kidney stone prevention.
- Randomized double-blind study of potassium citrate in idiopathic hypocitraturic calcium nephrolithiasis
PubMed ID: 8230497
Highâquality RCT: potassium citrate markedly reduced new calcium stone formation and increased urinary citrate â direct, strong kidney benefit.
- Efficacy and safety of valsartan in children aged 1-5 years with hypertension, with or without chronic kidney disease: a randomized, double-blind study followed by open-label phase
PubMed ID: 34543161
Pediatric trial noted larger potassium rises in CKD patients on valsartan, highlighting K risk in renal disease.
- Serum potassium and outcomes in heart failure with preserved ejection fraction: a post-hoc analysis of the PARAGON-HF trial
PubMed ID: 33609066
HFpEF analysis linked dyskalaemia (both low and high K) with worse outcomes, especially with renal impairment â relevant to kidney management.
- Effects of Sacubitril/Valsartan Versus Irbesartan in Patients With Chronic Kidney Disease
PubMed ID: 30002098
CKD trial tracked potassium events and found no significant excess hyperkalaemia, informing K handling in CKD.
- Efficacy and safety of valsartan, an angiotensin II receptor antagonist, in hypertension after renal transplantation: a randomized multicenter study
PubMed ID: 17097955
Renal transplant RCT showed a small but significant rise in serum K with valsartan, relevant to renal K balance and monitoring.
- Stabilization and regression of albuminuria in Chinese patients with type 2 diabetes: a one-year randomized study of valsartan versus enalapril
PubMed ID: 16020405
Oneâyear RCT in T2DM reduced albuminuria without changing plasma K â direct kidney outcome data.
- Lime-based supplement reduces calcium oxalate stone recurrence: A multicenter randomized controlled trial
PubMed ID: 41348736
Large RCT: citrate/potassiumâcontaining lime supplement markedly reduced calciumâoxalate stone recurrence and urinary injury/inflammation markersâstrong kidney wellness evidence (though multiâcomponent intervention).
- Lime powder regimen supplement alleviates urinary metabolic abnormalities in urolithiasis patients
PubMed ID: 30225852
Randomized trial: lime supplement raised urinary citrate/pH and reduced calcium/oxalate â directly favorable for stone prevention and renal lithogenic risk.
- Potassium Citrate is Better in Reducing Salt and Increasing Urine pH than Oral Intake of Lemonade: A Cross-Over Study
PubMed ID: 29605825
Short crossover in children: oral potassium citrate increased urine pH and lowered urine sodiumâclear shortâterm renal/stoneârisk effect.
- Noncitrus alkaline fruit: a dietary alternative for the treatment of hypocitraturic stone formers
PubMed ID: 22500592
Acute feeding: melon raised urinary citrate and urine alkalinity/potassiumâshortâterm effects relevant to lithogenic risk.
- Can lemon juice be an alternative to potassium citrate in the treatment of urinary calcium stones in patients with hypocitraturia? A prospective randomized study
PubMed ID: 18946667
Randomized comparison: potassium citrate (and lemon) substantially increased urinary citrate and reduced urinary calcium in hypocitraturic patientsâstrong stoneâprevention relevance.
- Citraturic, alkalinizing and antioxidative effects of limeade-based regimen in nephrolithiasis patients
PubMed ID: 18560820
Lime drink (delivering potassium/citrate) increased urinary citrate/pH and urinary potassium, with renal tubular/antioxidant signalsâsupports stoneârelated kidney wellness.
- Oral nicorandil to reduce cardiac death after coronary revascularization in hemodialysis patients: a randomized trial
PubMed ID: 19535190
Trial in hemodialysis patients showed improved survival with nicorandil after revascularization; directly involves a kidney failure population (drug effect, indirect for potassium).
- Safety and efficacy of alcohol-mediated bilateral adrenal artery embolization in patients with idiopathic hyperaldosteronism: a 6-month follow-up of a randomized controlled trial
PubMed ID: 40468047
In idiopathic hyperaldosteronism, adrenal artery embolization produced better BP control and correction of potassium abnormalities versus medical therapy â demonstrates clinical importance of potassium normalization in disorders affecting renal/aldosterone physiology.
- Association of KCNJ1 variation with change in fasting glucose and new onset diabetes during HCTZ treatment
PubMed ID: 22907731
Variants in the renal K channel (KCNJ1/ROMK) affect serum K and drug responsesâbiological relevance to renal K physiology.
- Polyethylene glycol versus sodium phosphate in bowel cleansing for colonoscopy: a randomized trial
PubMed ID: 15933926
Sodium-phosphate bowel prep caused marked electrolyte shifts (lower potassium, higher phosphate) with renal safety implications.
- Treatment of hyperkalaemia by altering the transcellular gradient in patients with renal failure: effect of various therapeutic approaches
PubMed ID: 9487416
Direct study of therapies to lower high potassium in renal failureâhighly relevant to renal potassium management and patient safety.
- Safety of concomitant potassium-sparing diuretics in angiotensin-converting enzyme inhibitor therapy in severe congestive heart failure. Xamoterol in Severe Heart Failure Study Group
PubMed ID: 7526050
Large heart-failure cohort: potassium-sparing diuretics + ACE inhibitors required K monitoring; results inform K management in renal/renal-risk patients.
- Intravenous infusion or nebulization of salbutamol for treatment of hyperkalemia in patients with chronic renal failure
PubMed ID: 8039040
Study in chronic renal failure: demonstrates clinically important, rapid plasma K shifts after inhaled/IV drugs in CKD patients â relevant to K handling in kidney disease.
- Effects of ketorolac trometamol on renal function
PubMed ID: 1642936
Postoperative study found ketorolac reduced urinary potassium excretion vs placebo â direct renal handling of potassium relevant to kidney-related potassium balance.
- Investigating the Effects of Moxibustion on Gastrointestinal Function and Gut Microbiota in Chronic Renal Failure: A CARE Non-Placebo Randomized Controlled Study in Peritoneal Dialysis Patients
PubMed ID: 40258348
In dialysis patients, moxibustion+PD significantly reduced serum potassium/phosphorusâdirect effects on renal patients' K handling.
- Randomized Trial to Assess the Safety and Tolerability of Daily Intake of an Allulose Amino Acid-Based Hydration Beverage in Men and Women
PubMed ID: 38892699
Hydration powder produced small eGFR and K changes but was generally safe in short termârelevant to kidney tolerability.
- Long-term rifaximin therapy as a primary prevention of hepatorenal syndrome
PubMed ID: 28902040
Rifaximin reduced development of hepatorenal syndrome and limited rises in BUN/creatinine, indirectly preserving renal function and K balance.
- A safety and feasibility study comparing an intermittent high dose with a daily standard dose of liposomal amphotericin B for persistent neutropenic fever
PubMed ID: 19589901
Intermittent highâdose liposomal amphotericin B regimen produced fewer hypokalaemia days and less K supplementationârelevant to kidneyârelated K handling.
- Genetic variation in the renal sodium transporters NKCC2, NCC, and ENaC in relation to the effects of loop diuretic drugs
PubMed ID: 17460608
Genetic variants in renal sodium transporters altered diuretic responses (implicates renal handling of electrolytes and K balance).
- Phosphate levels in patients treated with low-flux haemodialysis, pre-dilution haemofiltration and haemodiafiltration: post hoc analysis of a multicentre, randomized and controlled trial
PubMed ID: 24557989
Large dialysis cohort found pre-dialysis potassium independently associated with serum phosphateâinformative for renal physiology.
- Treatment of hyperkalemia in patients with chronic kidney disease: a comparison of calcium polystyrene sulphonate and sodium polystyrene sulphonate
PubMed ID: 25672163
Study of potassiumâbinding resins in CKD directly manipulated serum potassium and showed clinically meaningful reductions.
- [Effect of Individualized Low-protein Diet Intervention on Renal Function of Patients with Chronic Kidney Disease]
PubMed ID: 26564452
Individualized lowâprotein diet in CKD lowered serum potassium and urine proteinâdietary intervention improved potassium control and proteinuria.
- Electrolyte and mineral disturbances in septic acute kidney injury patients undergoing continuous renal replacement therapy
PubMed ID: 27603344
Septic AKI/CRRT cohort highlights frequent potassium disturbances and the importance of monitoring/managing electrolytes in kidney injury.
- Effects of the Potassium-Binding Polymer Patiromer on Markers of Mineral Metabolism
PubMed ID: 30381412
Patiromer (K-binding) altered urinary phosphate and reduced PTH over 4 weeksâdirectly relevant to renal mineral handling.
- Calcium-Polystyrene Sulfonate Decreases Inter-Dialytic Hyperkalemia in Patients Undergoing Maintenance Hemodialysis: A Prospective, Randomized, Crossover Study
PubMed ID: 30109784
In dialysis patients, a potassium binder meaningfully lowered interdialytic K and reduced ECG hyperkalemia signsâdirect kidney-clinical relevance.
- Efficacy and safety of an innovative prolonged-release combination drug in patients with distal renal tubular acidosis: an open-label comparative trial versus standard of care treatments
PubMed ID: 32712761
Direct RCT of prolongedârelease potassium citrate/bicarbonate in dRTA improved bicarbonate control and urine stone risk markers.
- Effect of Phaseolus Vulgaris on Urinary Biochemical Parameters among Patients with Kidney Stones in Saudi Arabia
PubMed ID: 33143212
Phaseolus vulgaris extract increased urinary potassium and beneficially altered stone-related urinary biochemistry.
- Potassium citrate vs. hydrochlorothiazide to reduce urinary calcium excretion in calcium oxalate stone patients with hypercalciuria: a prospective randomized study
PubMed ID: 33904027
Randomized trial: potassium citrate reduced urinary calcium and increased citrate in hypercalciuric stone patients.
- Does potassium citrate administration change the type and composition of encrusted material on Double-J stent compared to primary stone?
PubMed ID: 34050877
Oral potassium citrate after ureteral stenting markedly reduced calcium-oxalate and uric-acid encrustation on stents, a direct kidney/urinary tract benefit.
- Dietary Advice in Hemodialysis Patients: Impact of a Telehealth Approach During the COVID-19 Pandemic
PubMed ID: 34147308
Telehealth dietary counseling in hemodialysis patients lowered serum potassium/phosphorus and interdialytic weight gain, improving kidney care metrics.
- Balanced forced-diuresis as a renal protective approach in cardiac surgery: Secondary outcomes of electrolyte changes
PubMed ID: 34414606
RenalGuard trial showed reduced AKI while managing potassium replacement â directly relevant to kidney management and potassium balance.
- Potassium binders in hemodialysis patients: a friend or foe?
PubMed ID: 23402387
Realâworld potassiumâbinder use in dialysis patients directly pertains to renal potassium management though adherence limited benefits.
- Efficacy and safety of calcium polystyrene sulfonate in patients with hyperkalemia and stage 3-5 non-dialysis chronic kidney disease: a single-center randomized controlled trial
PubMed ID: 37063062
Oral calcium polystyrene sulfonate lowered serum potassium in stage 3â5 CKD patients â direct therapeutic manipulation of potassium in CKD (kidney care relevance).
- Effects of dialysate potassium concentration of 3.0 mmol/l with sodium zirconium cyclosilicate on dialysis-free days versus dialysate potassium concentration of 2.0 mmol/l alone on rates of cardiac arrhythmias in hemodialysis patients with hyperkalemia
PubMed ID: 39490411
Hemodialysis study manipulating dialysate K + oral SZC improved serum K control and reduced arrhythmias in dialysis patients â directly kidney-disease relevant.
- Effect of sodium zirconium cyclosilicate on hyperkalemia after parathyroidectomy in secondary hyperparathyroidism patients with maintenance hemodialysis: A randomized trial
PubMed ID: 39969301
Preoperative sodium zirconium cyclosilicate in dialysis patients prevented postoperative hyperkalemia, a clinically important kidney-patient safety benefit.
- Effect of low-potential renal acid load diet intervention on urinary lithogenic parameters in recurrent calcium urolithiasis patients (A Preliminary Randomized Controlled Trialďź
PubMed ID: 41251791
Potassium citrate medication favorably changed urinary potassium and PRAL in recurrent calcium stone patients â direct renal stone/acidâbase relevance.
- Efficacy and safety of esaxerenone vs trichlormethiazide for the treatment of uncontrolled essential hypertension in Japanese patients with type 2 diabetes mellitus: a subanalysis of the EXCITE-HT study
PubMed ID: 41436637
Esaxerenone trial in T2D hypertensives reduced albuminuria (renal marker) though had small K increases â kidney outcomes impacted.
- Effect of renin-angiotensin-aldosterone system triple blockade on non-diabetic renal disease: addition of an aldosterone blocker, spironolactone, to combination treatment with an angiotensin-converting enzyme inhibitor and angiotensin II receptor blocker
PubMed ID: 18360019
Triple RAAS blockade including spironolactone produced large antiproteinuric effects in nonâdiabetic kidney disease (clinical kidney benefit; K implication indirect).
- Apararenone in patients with diabetic nephropathy: results of a randomized, double-blind, placebo-controlled phase 2 dose-response study and open-label extension study
PubMed ID: 32974732
Apararenone reduced albuminuria (early diabetic nephropathy) in a large RCT; study reported small dose-related rises in serum K (relevant safety data regarding potassium and renal therapy).
- Long-term diuretic therapy: effects of dose reduction on antihypertensive efficacy and counterregulatory systems
PubMed ID: 1378114
Lowering diuretic dose reduced hypokalemia rates while maintaining BP, reducing renal electrolyte disturbance risk.
- Combination diuretic treatment in severe heart failure: a randomised controlled trial
PubMed ID: 8130022
Addition of thiazide in loop-diuretic-resistant HF produced diuresis with differing electrolyte disturbance profiles, relevant to renal electrolyte management.
- Protective effect of misoprostol on indomethacin induced renal dysfunction in elderly patients
PubMed ID: 7791169
Addition of misoprostol markedly reduced indomethacinâassociated rises in BUN/creatinine and blunted serum K increasesâevidence relevant to preserving renal function and K handling.
- Electrolyte modelling in haemodialysis--potassium
PubMed ID: 8803994
Direct study manipulating dialysate potassium gradients in hemodialysis; changing K+ bath reduced dialysisârelated ventricular ectopy â directly relevant to kidney replacement therapy and K+ management.
- Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage
PubMed ID: 10584839
Fludrocortisone markedly altered renal sodium/water handling and produced transient hypokalemia in most patients â relevant to renal mineralâretention physiology and risk of hypokalemia.
- Renal effects of selective cyclooxygenase-2 inhibition in normotensive salt-depleted subjects
PubMed ID: 10430112
COX inhibitors caused renal sodium and potassium retention in saltâdepleted subjects â demonstrates drug effects on renal K+ handling.
- The efficiency of potassium removal during bicarbonate hemodialysis
PubMed ID: 16191080
Bicarbonate vs acetate dialysis produced distinct intradialytic K+ dynamics and rebound â pertinent to dialysis/renal care.
- Addition of angiotensin receptor blockade or mineralocorticoid antagonism to maximal angiotensin-converting enzyme inhibition in diabetic nephropathy
PubMed ID: 19926893
In diabetic kidney disease adding spironolactone reduced albuminuria (renal benefit) but raised serum potassium, directly implicating K homeostasis in kidney therapy.
- Improving outcome of treatment of kala-azar by supplementation of amphotericin B with physiologic saline and potassium chloride
PubMed ID: 21036834
Adding saline with KCl to amphotericin B infusions significantly reduced rises in serum creatinine and renal injuryâdirect kidney-protective effect.
- Spironolactone in preventing hypokalemia following traumatic brain injury
PubMed ID: 21126390
Spironolactone after TBI markedly reduced hypokalemia incidence â directly relevant to potassium handling and renal/excretory balance.
- A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis
PubMed ID: 22357106
Pharmacist-led IT program improved electrolyte (urea & electrolytes) monitoring and reduced hazardous prescribingâimproves potassium-related kidney safety.
- Correction of metabolic acidosis with potassium citrate in renal transplant patients and its effect on bone quality
PubMed ID: 22773591
Oral potassium citrate corrected metabolic acidosis in renal transplant recipients and was associated with better bone outcomesâdirect renal/metabolic intervention in kidney patients.
- A double-blind, randomized, parallel, placebo-controlled study examining the effect of cross-linked polyelectrolyte in heart failure patients with chronic kidney disease
PubMed ID: 22613585
CLP in HF with CKD improved congestion and functional class (though serum potassium not changed); clinical renal-cardiac context relevant to kidney wellness.
- Potassium kinetics during hemodialysis
PubMed ID: 25091596
Large hemodialysis kinetics study provides quantitative parameters for K+ removal and distribution relevant to renal replacement management.
- Effect of sodium zirconium cyclosilicate on potassium lowering for 28 days among outpatients with hyperkalemia: the HARMONIZE randomized clinical trial
PubMed ID: 25402495
Oral K+ binder rapidly and durably lowers serum K+ in hyperkalemia patients, relevant to renal patients at risk of K+ overload.
- Randomized Clinical Trial of Sodium Polystyrene Sulfonate for the Treatment of Mild Hyperkalemia in CKD
PubMed ID: 26576619
In CKD patients with hyperkalemia, oral sodium polystyrene sulfonate effectively lowered serum K (~1 mEq/L) â directly relevant to management of potassium in kidney disease.
- Lipid-based nutrient supplements containing vitamins and minerals attenuate renal electrolyte loss in HIV/AIDS patients starting antiretroviral therapy: A randomized controlled trial in Zambia
PubMed ID: 28531643
Micronutrientâfortified supplement reduced renal potassium losses in malnourished HIV patients, indicating improved renal K+ handling.
- Comparison of the effects of tolvaptan and furosemide on renal water and sodium excretion in patients with heart failure and advanced chronic kidney disease: a subanalysis of the K-STAR study
PubMed ID: 29934667
In HF+CKD patients, tolvaptan altered urine Na/K and increased electrolyte-free water clearance â direct renal electrolyte effects relevant to kidney handling of K+.
- The effect of a self-management program on renal function control in patients with hemodialysis in Taiwan: A longitudinal randomized controlled trial
PubMed ID: 32390339
Selfâmanagement intervention in HD patients reduced serum potassium and improved fluid controlâdirectly relevant to dialysis patient kidney management.
- Risk of Electrolyte Disorders in Acutely Ill Children Receiving Commercially Available Plasmalike Isotonic Fluids: A Randomized Clinical Trial
PubMed ID: 33104176
Large pediatric RCT showed Kâcontaining isotonic fluid increased hypokalemia risk and electrolyte disorders â direct, strong relevance to potassium in IV fluids and renal electrolyte handling.
- Efficacy of Potassium Supplementation in Hypokalemic Patients Receiving Peritoneal Dialysis: A Randomized Controlled Trial
PubMed ID: 35597332
Oral KCl in peritoneal dialysis patients raised serum K and was associated with lower peritonitis risk â direct trial of potassium supplementation in a renal population.
- New approaches in the nutritional treatment of advanced chronic kidney disease
PubMed ID: 36402686
Relaxed dietary potassium restriction increased potassium intake and was associated with improved GFR and no hyperkalemia over 1 year â directly relevant to kidney outcomes.
- CYP11B2 inhibitor dexfadrostat phosphate suppresses the aldosterone-to-renin ratio, an indicator of sodium retention, in healthy volunteers
PubMed ID: 36914591
Aldosterone-synthase inhibitor increased plasma K and altered urine Na/K consistent with kidney sodium/potassium handlingâmechanistic relevance to renal electrolyte handling.
- Inorganic nitrate benefits contrast-induced nephropathy after coronary angiography for acute coronary syndromes: the NITRATE-CIN trial
PubMed ID: 38513060
Large RCT: oral inorganic (potassium) nitrate strongly reduced contrast-induced nephropathy and improved 3âmonth renal outcomes.
- The randomized DIALIZE-Outcomes trial evaluated sodium zirconium cyclosilicate in hemodialysis
PubMed ID: 40618849
SZC in hemodialysis patients robustly maintained normokalemia over 12 monthsâdirectly relevant to renal patient potassium management.
- Hyponatremia after pediatric surgery: Randomized trial of fluid composition on antidiuretic hormone response
PubMed ID: 40399660
Pediatric fluid composition RCT affected urinary Na:K and hyponatremia risk â relevant to renal/electrolyte management.
- Sociodemographic and Kidney Disease Correlates of Nutrient Intakes Among Urban African Americans With Uncontrolled Hypertension
PubMed ID: 30709714
Crossâsectional link: low potassium intake associated with higher odds of albuminuria in hypertensive African Americans.
- A Pilot Randomized, Controlled, Double-Blind Trial of Bumetanide to Treat Neonatal Seizures
PubMed ID: 33201535
Bumetanide trial in neonates produced diuresis and monitored electrolytes (diuretic effects on renal handling of K).
- A long-term study on the efficacy of a herbal plant, Orthosiphon grandiflorus, and sodium potassium citrate in renal calculi treatment
PubMed ID: 11944733
Direct trial comparing sodiumâpotassium citrate vs herbal therapy showed SPC effective at stone reduction and symptom relief â potassium citrate has established renal/urolithiasis roles.
- Evaluation of citrate-based nutraceutical combinations and their impact on chemolysis in the management of urinary diversion device: a randomised double-blind placebo-controlled study on improved quality of life and clinical outcomes
PubMed ID: 40715538
Potassiumâmagnesium citrate nutraceutical reduced ureteral stent encrustation and eased removal (urinary tract benefit).
- Effects of DPP-4 Inhibitor Linagliptin Versus Sulfonylurea Glimepiride as Add-on to Metformin on Renal Physiology in Overweight Patients With Type 2 Diabetes (RENALIS): A Randomized, Double-Blind Trial
PubMed ID: 32900785
Study measured increases in urinary potassium excretion and renal handling with linagliptin (renal physiology relevance).
- Predicting erythropoietin resistance in hemodialysis patients with type 2 diabetes
PubMed ID: 23521816
In dialysis patients, serum potassium related to ESA resistance and adverse outcomes â emphasizes importance of potassium homeostasis in renal patients.
- Effect of long-term therapy with captopril on proteinuria and renal function in patients with non-insulin-dependent diabetes and with non-diabetic renal diseases
PubMed ID: 7891796
Long-term captopril slowed GFR decline in diabetic renal disease and was associated with higher serum potassium â study links potassium handling and renal outcomes.
- Potassium supplements prevent serious hypokalaemia in colon cleansing
PubMed ID: 7828395
Oral K prevented clinically important hypokalaemia during bowel prep, protecting renal electrolyte handling in atârisk patients.
- Using a low-sodium, high-potassium salt substitute to reduce blood pressure among Tibetans with high blood pressure: a patient-blinded randomized controlled trial
PubMed ID: 25338053
Large trial of lowâsodium, highâK salt produced substantial BP reductions, which benefit renal outcomes over time.
- Intake of low sodium salt substitute for 3years attenuates the increase in blood pressure in a rural population of North China - A randomized controlled trial
PubMed ID: 27128565
3âyear community trial: KClâcontaining salt substitute attenuated longâterm BP rise â a plausible kidneyâprotective effect via BP lowering.
- Effects of intraoperative and early postoperative normal saline or Plasma-Lyte 148ÂŽ on hyperkalaemia in deceased donor renal transplantation: a double-blind randomized trial
PubMed ID: 29121282
Perioperative fluid choice influenced hyperkalaemia incidence/management in kidney transplant patients â directly relevant to K+ handling in renal setting.
- Hypokalemia During Decongestion With Loop Diuretics and Hydrochlorothiazide, a Post Hoc Analysis of the CLOROTIC Trial
PubMed ID: 40590131
Direct renal context: diuretic regimens produced hypokalemia risk and give actionable baseline K thresholds â high relevance to K management in kidney patients.
- Amikacin plus piperacillin versus ceftazidime as initial therapy in granulocytopenic patients with presumed bacteremia
PubMed ID: 2284577
Combination therapy caused clinically important potassium loss requiring supplementation â directly relevant to renal/electrolyte management.
- Effects of acetylsalicylic acid on renal function in patients with chronic heart failure
PubMed ID: 2029014
Low-sodium diet altered renin/aldosterone and increased renal K excretion â directly addresses renal electrolyte handling.
- Short report: ramipril and hydrochlorothiazide combination therapy in hypertension: a clinical trial of factorial design. The East Germany Collaborative Trial Group
PubMed ID: 8385183
Large trial showing thiazide-induced K loss and modulation by ACE inhibitor â relevant to kidney-mediated K changes.
- Randomized clinical study of the efficacy of amiloride and potassium canrenoate in nonazotemic cirrhotic patients with ascites
PubMed ID: 8276370
Potassium canrenoate produced substantially higher diuretic responses in cirrhotic ascites vs amiloride, directly affecting renal salt/water handling.
- The influence of angiotensin-converting enzyme inhibition on renal tubular function in progressive chronic nephropathy
PubMed ID: 8957033
Direct measurements of renal K+ clearance and proximal tubular reabsorption â directly relevant to kidney K+ handling.
- Effect of hydrochlorothiazide therapy on cardiac arrhythmias in African-American men with systemic hypertension and moderate to severe left ventricular hypertrophy
PubMed ID: 8888660
Hydrochlorothiazide produced a clinically relevant fall in serum K, a renal-diuretic effect relevant to kidney-mediated K balance.
- Clustering of endothelial markers of vascular damage in human salt-sensitive hypertension: influence of dietary sodium load and depletion
PubMed ID: 9822445
Salt-sensitive patients showed greater albuminuria and endothelial markers with dietary sodium changes â Na/K balance relevant to renal stress and kidney health.
- Diuretic-based treatment and cardiovascular events in patients with mild renal dysfunction enrolled in the systolic hypertension in the elderly program
PubMed ID: 9645829
Diureticâbased therapy trial documents hypokalemia risk varying by kidney function, directly linking potassium balance to kidneyârelated safety.
- Amphotericin B in children with malignant disease: a comparison of the toxicities and pharmacokinetics of amphotericin B administered in dextrose versus lipid emulsion
PubMed ID: 10348763
Children on amphotericin B required more potassium â demonstrates drugâinduced renal K losses and renal impact.
- Angiotensin II type 1 (AT1) receptor blockade in hypertensive women: benefits of candesartan cilexetil versus enalapril or hydrochlorothiazide
PubMed ID: 10826401
Antihypertensive trial demonstrated thiazide diuretic significantly decreased serum potassium, highlighting a common cause of renal K loss relevant to kidney management.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Large trial linking diureticâinduced hypokalemia to worse cardiovascular events; demonstrates clinical importance of preventing hypokalemia for organ health including kidneys.
- Randomized controlled crossover study of the effect on proteinuria and blood pressure of adding an angiotensin II receptor antagonist to an angiotensin converting enzyme inhibitor in normotensive patients with chronic renal disease and proteinuria
PubMed ID: 11917051
Addition of ARB to ACE inhibitor in renal disease produced an isolated hyperkalemia case and urea riseâclinically relevant to kidney handling of K.
- Is peritoneal dialysis adequate for hypercatabolic acute renal failure in developing countries?
PubMed ID: 11849419
Directly compares dialysis modalities and shows TPD removed more potassiumârelevant to renal potassium handling in acute renal failure.
- Renal perfusion during thoracoabdominal aortic operations: cold crystalloid is superior to normothermic blood
PubMed ID: 11899174
Study showed renal-protection differences in perfusion techniqueârelevant to kidney function which governs potassium homeostasis.
- Comparative effects of chronic ACE inhibition and AT1 receptor blocked losartan on cardiac hypertrophy and renal function in hypertensive patients
PubMed ID: 11850771
Long term enalapril/losartan trial showed renal function benefits (GFR rise with losartan) and measured potassium changesârelevant to kidney outcomes and K homeostasis.
- Antihypertensive and antiproteinuric efficacy of ramipril in children with chronic renal failure
PubMed ID: 15253732
Ramipril in pediatric chronic renal failure halved proteinuria and produced a measurable serum potassium rise, directly linking therapy, renal outcomes and K handling.
- Efficacy of eplerenone versus enalapril as monotherapy in systemic hypertension
PubMed ID: 15081441
Eplerenone reduced albuminuria more than enalapril but both raised serum potassium slightlyâdirect relevance to kidney disease management and potassium handling.
- Prevention of renal impairment by continuous infusion of human atrial natriuretic peptide after liver transplantation
PubMed ID: 16278591
Continuous ANP infusion after liver transplant reduced need for dialysis and preserved creatinine clearance (direct renal benefit).
- An analysis of the effectiveness and benefits of peritoneal dialysis and haemodialysis using Nigerian made PD fluids
PubMed ID: 16749353
Dialysis study documents major serum K shiftsâdirectly relevant to renal K handling and kidney-related care.
- Spironolactone in type 2 diabetic nephropathy: Effects on proteinuria, blood pressure and renal function
PubMed ID: 17053552
Spironolactone reduced proteinuria in diabetic nephropathy but increased hyperkalemia risk; relevant to potassium physiology and kidney outcomes.
- Effect of potassium canrenoate, an anti-aldosterone agent, on incidence of ascites and variceal progression in cirrhosis
PubMed ID: 16931172
Antialdosterone therapy lowered progression to ascites/variceal events in cirrhosisâintervention affects sodium/potassium handling with renal/hemodynamic implications.
- Long-term effects of spironolactone on proteinuria and kidney function in patients with chronic kidney disease
PubMed ID: 17035949
Spironolactone added to RAS blockade in CKD reduced proteinuria and slowed eGFR declineâclinically meaningful renal benefit though associated with K increases.
- Appropriateness of spironolactone prescribing in heart failure patients: a population-based study
PubMed ID: 16624686
Population data showing frequent hyperkalemia with spironolactone and frequent concurrent K+ supplement use â important kidney safety signal.
- Oral rehydration solution to prevent nephrotoxicity of amphotericin B
PubMed ID: 17172377
ORS was as good as IV saline for kidney protection during amphotericin therapy and better prevented hypokalemiaâdirect relevance to kidneyârelated electrolyte management.
- Pharmacokinetics and pharmacodynamics of drospirenone-estradiol combination hormone therapy product coadministered with hydrochlorothiazide in hypertensive postmenopausal women
PubMed ID: 17906162
DRSP/E2 coadministration with HCTZ raised serum potassium and mitigated thiazide-induced hypokalemia, relevant to renal potassium handling in diuretic-treated patients.
- [Effect of hemodialysis with Chinese herbs of supplementing qi and activating blood circulation on platelet membranous glycoprotein CD62P in patients with chronic renal failure]
PubMed ID: 17342993
Hemodialysis with a herbal dialysate produced significant changes in serum potassium, directly relevant to renal potassium handling in dialysis patients.
- Genetic and dietary control of plasma tissue kallikrein secretion and urinary kinins exretion in man
PubMed ID: 18327081
Switching to a lowâNa/highâK diet produced measurable renal kallikrein changes, a renal biomarker response to potassium intake.
- Outpatient loop diuretic use and the effect of natriuresis-guided diuretic therapy: A prespecified sub-analysis of the PUSH-AHF study
PubMed ID: 41159496
Natriuresisâguided diuretic therapy increased natriuresis/diuresis without harming renal safety â relevant to fluid/electrolyte and kidney management.
Wellbeing (56)
- Comparative efficacy of a herbal and a non-herbal dentifrice on dentinal hypersensitivity: a randomized, controlled clinical trial
PubMed ID: 25388765
5% potassium nitrate dentifrice reduced sensitivity vs placebo â supports comfort/quality of life.
- Efficacy of a 3% potassium nitrate mouthrinse for the relief of dentinal hypersensitivity: An 8-week randomized controlled study
PubMed ID: 30803493
Large RCT: 3% KNO3 mouthrinse + toothpaste significantly reduced dentinal hypersensitivity over 8 weeks.
- Treatment with a potassium-iron-phosphate-citrate complex improves PSE scores and quality of life in patients with minimal hepatic encephalopathy: a multicenter, randomized, placebo-controlled, double-blind clinical trial
PubMed ID: 23117470
Multiâcomponent (includes potassium) improved encephalopathy scores and quality of life â clinical QoL signal though not attributable to potassium alone.
- [Clinical evaluation of the effect of reducing tooth sensitivity caused by in office bleaching using dentifrices]
PubMed ID: 30996379
Pre-bleaching potassium nitrate dentifrice reduced immediate postoperative tooth sensitivity in a large RCT.
- Effectiveness of Two Desensitizer Materials, Potassium Nitrate and Fluoride Varnish in Relieving Hypersensitivity After Crown Preparation
PubMed ID: 31308282
Within-subject RCT: potassium nitrate decreased sensitivity before/after crown cementation (reduces pain-related distress).
- Interim effects of salt substitution on urinary electrolytes and blood pressure in the China Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 31986290
Large saltâsubstitute trial increased potassium intake and modestly lowered population systolic BPâpopulationâlevel health/wellbeing relevance.
- Effect of a plant-based bioequivalent inorganic nitrate (NO(3)(-)) complex with vitamins, antioxidants and phytophenol rich food extracts in hypertensive individuals - A randomized, double-blind, placebo-controlled study
PubMed ID: 33183558
Plantâbased nitrate (including KNO3) improved BP and endothelial function over 12 weeks; contributes to cardiovascular wellbeing (nitrate effect).
- Snack selection influences glucose metabolism, antioxidant capacity and cholesterol in healthy overweight adults: A randomized parallel arm trial
PubMed ID: 30952505
Driedâplum snacks raised potassium and produced favorable metabolic changes (lower postprandial insulin, LDL).
- Diuretic use is associated with better learning and memory in older adults in the Ginkgo Evaluation of Memory Study
PubMed ID: 22465175
Use of potassium-sparing diuretics (implying higher K retention) associated with better verbal memory.
- Potassium supplementation inhibits IL-17A production induced by salt loading in human T lymphocytes via p38/MAPK-SGK1 pathway
PubMed ID: 27020669
Potassium supplementation reversed highâsaltâinduced proinflammatory changes in humans, which may contribute to overall wellbeing.
- Intake of potassium- and magnesium-enriched salt improves functional outcome after stroke: a randomized, multicenter, double-blind controlled trial
PubMed ID: 28877896
K+âplusâMg salt improved 6âmonth functional recovery after stroke (clinically meaningful global outcome).
- Effects of magnesium and potassium supplementation on insomnia and sleep hormones in patients with diabetes mellitus
PubMed ID: 39534260
Potassium (with Mg) supplementation improved insomnia severity and lowered morning cortisol in diabetics, outcomes consistent with better wellbeing.
- Comparative Efficacy of Magnesium and Potassium Towards Cholesterol and Quality of Life in Patients With Type 2 Diabetes Mellitus: A Randomised Single-Blinded Controlled Clinical Trial
PubMed ID: 39410716
Potassium supplementation improved quality-of-life scores markedly in T2DM trial (direct evidence).
- Increasing the dietary potassium intake reduces the need for antihypertensive medication
PubMed ID: 1929022
High-K dietary intervention improved BP control and reduced medication needâa likely contributor to overall wellbeing.
- Potassium supplementation in kwashiorkor
PubMed ID: 9106107
In severely malnourished children (kwashiorkor), higher potassium markedly lowered late deaths and infectious complications â strong evidence of improved overall clinical outcomes.
- Urinary sodium and potassium profile of blacks and whites in relation to education in two different geographic urban areas. TOMHS Research Group. Treatment of Mild Hypertension Study
PubMed ID: 10075387
Population study shows lower urinary K and higher Na:K ratios in certain groups, implying dietary K intake differences that can affect general health.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Large trial showing diuretic-induced hypokalemia linked to worse cardiovascular outcomes; maintaining normal K associated with substantially fewer events, which plausibly contributes to overall wellbeing.
- Effects of glucose-insulin-potassium infusion on ST-elevation myocardial infarction in patients treated with thrombolytic therapy
PubMed ID: 16214437
GIK reduced major cardiac events and improved LVEF â systemic clinical benefit (multicomponent intervention).
- Effect of potassium-enriched salt on cardiovascular mortality and medical expenses of elderly men
PubMed ID: 16762939
Potassium-enriched salt reduced CVD mortality and improved life expectancy in elders, implying broader wellbeing benefits.
- Potassium sensitivity test (PST) as a measurement of treatment efficacy of painful bladder syndrome/interstitial cystitis: a prospective study with cyclosporine A and pentosan polysulfate sodium
PubMed ID: 17078084
In PBS/IC patients, potassium sensitivity test converted to negative alongside clinical improvement, linking potassium-related physiology to symptom/quality-of-life gains.
- A pilot study of potassium supplementation in the treatment of hypokalemic patients with rheumatoid arthritis: a randomized, double-blinded, placebo-controlled trial
PubMed ID: 18468955
Oral K supplementation in hypokalemic RA reduced pain and improved clinical response, indicating improved patient wellbeing.
- A propensity-matched study of low serum potassium and mortality in older adults with chronic heart failure
PubMed ID: 18691778
Low serum K in HF linked to higher mortality â relevant to general wellbeing.
- Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study
PubMed ID: 20101007
DASH diet (higher dietary potassium among other nutrients) produced large BP and health improvements, supporting overall wellbeing through dietary potassium-rich foods.
- Long-term results of a prospective, randomized trial comparing retroperitoneoscopic partial versus total adrenalectomy for aldosterone producing adenoma
PubMed ID: 21419437
Surgical cure of aldosteroneâproducing adenoma normalized aldosterone/potassium and eliminated need for K supplements, improving BP and clinical status.
- Nutrition education guided by Dietary Guidelines for Chinese Residents on metabolic syndrome characteristics, adipokines and inflammatory markers
PubMed ID: 21393114
Community nutrition education increased dietary potassium intake and was associated with improved waist circumference, HDL and inflammatory/adipokine markers, consistent with improved overall cardiometabolic wellbeing (but multi-component intervention).
- Urine Potassium Excretion, Kidney Failure, and Mortality in CKD
PubMed ID: 27233381
Higher 24-h urine K (intake surrogate) associated with substantially lower all-cause mortality in CKD â supports population-level wellbeing.
- Sodium Intake and All-Cause Mortality Over 20 Years in the Trials of Hypertension Prevention
PubMed ID: 27712772
TOHP longâterm data: higher urinary Na/K ratio associated with higher allâcause mortalityâimplicates K in longâterm health.
- [The new directions in the physiotherapeutic applications of the natural potassium salts of the Western Ural]
PubMed ID: 28091488
Clinical series reported broad symptomatic improvements with sylvinite (potassium salts); methodology limited but directly claims wellbeing effects.
- The Amelioration of Insulin Resistance in Salt Loading Subjects by Potassium Supplementation is Associated with a Reduction in Plasma IL-17A Levels
PubMed ID: 28926857
Oral KCl reversed saltâinduced insulin resistance and lowered inflammatory ILâ17A â plausible contributor to improved wellbeing.
- Effects of salt substitute on home blood pressure differs according to age and degree of blood pressure in hypertensive patients and their families
PubMed ID: 29400576
HighâK salt substitute modestly lowered home systolic BP in hypertensives, a likely contributor to overall health/wellbeing.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
Perioperative GIK (includes potassium) reduced major cardiac/renal eventsâclinically meaningful wellbeing benefit.
- Effect of salt substitution on community-wide blood pressure and hypertension incidence
PubMed ID: 32066973
Pragmatic RCT in Peru: KCl salt substitute modestly lowered BP and halved incident hypertension â supports population health/wellbeing via K intake.
- Effect of Salt Substitution on Cardiovascular Events and Death
PubMed ID: 34459569
Large community RCT: replacing salt with KClâcontaining substitute reduced stroke, MACE and allâcause mortality â major populationâlevel wellbeing benefit from increased K intake.
- A Town-Level Comprehensive Intervention Study to Reduce Salt Intake in China: Cluster Randomized Controlled Trial
PubMed ID: 36364960
Community saltâreduction intervention increased urinary K modestly and lowered systolic BP â plausible contribution to wellbeing.
- [Efficacy of potassium N-acetylaminosuccinate (Cogitum) in the treatment of asthenic syndrome: results of double-blind placebo-controlled trial]
PubMed ID: 37382978
Randomized trial of a potassium salt compound (Cogitum) showed robust improvements in fatigue, cognitive tests and VAS wellbeing over 21 days.
- Secondary Analysis of the Salt Substitute and Stroke Study (SSaSS): Effects of Potassium-Enriched Salt on Cardiac Outcomes
PubMed ID: 38465623
Same large trial showed reduced cardiovascular events with Kâenriched saltâmeaningful wellbeing/health outcome.
- Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias
PubMed ID: 40879429
Raising plasma K to highânormal reduced arrhythmia/hospitalisation/death in ICD patients â major clinical benefit.
- Salt Substitution and Recurrent Stroke and Death: A Randomized Clinical Trial
PubMed ID: 39908026
Large saltâsubstitute RCT (KCl) reduced recurrent stroke and mortality, implying populationâlevel wellbeing benefit.
- Effect of Meticulous Nursing on Dialysis Adequacy in Elderly Patients Undergoing Maintenance Hemodialysis
PubMed ID: 41460732
Meticulous nursing in hemodialysis improved patient comfort and biochemical markers (including lower K+) â tangible wellbeing benefit.
- The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group
PubMed ID: 2064494
Large lifestyle/diet trial included increased dietary potassium as part of lifestyle changes that lowered BP and improved health markers â indirect support for wellbeing.
- Potassium-adsorption filter for RBC transfusion: a phase III clinical trial
PubMed ID: 11134566
Potassiumâadsorption filter markedly reduced K+ in stored RBCs and improved postâtransfusion RBC increments, which can improve clinical wellbeing after transfusion.
- Supplement use is associated with health status and health-related behaviors in the 1946 British birth cohort
PubMed ID: 15987865
Observational data: supplement users had healthier diets and higher potassium intake, consistent with overall wellbeing associations.
- Lime powder regimen supplement alleviates urinary metabolic abnormalities in urolithiasis patients
PubMed ID: 30225852
Phaseâ2 trial of lime/citrate supplement improved urinary markers and lithogenic riskâclinically favorable effects that may improve wellbeing.
- Lime-based supplement reduces calcium oxalate stone recurrence: A multicenter randomized controlled trial
PubMed ID: 41348736
Large RCT of a citrateârich (including potassium-containing) supplement showed markedly reduced kidneyâstone recurrence and improved urinary injury/inflammation markersâlikely to improve wellbeing in stone formers.
- Nutrition education in postmenopausal women: changes in dietary and cardiovascular indices
PubMed ID: 16822627
Education + dairy increased potassium intake and produced modest CV and wellbeing-related improvements.
- Dietary electrolytes are related to mood
PubMed ID: 18466657
Lowâsodium/highâpotassium diet produced modest mood improvements versus controlâdietary potassium associated with better mood.
- Longitudinal effect of 20-year infancy-onset dietary intervention on food consumption and nutrient intake: the randomized controlled STRIP study
PubMed ID: 30397257
Long-term dietary counselling produced sustained increases in dietary potassium and improved overall diet qualityâplausibly benefits wellbeing.
- Individually tailored nutritional guidance improved dietary intake of older family caregivers: a randomized controlled trial
PubMed ID: 35622137
Tailored nutrition counseling increased dietary potassium and other nutrients in older caregivers, improving nutritional status.
- Nutritional quality of calorie restricted diets in the CALERIE⢠1 trial
PubMed ID: 35643360
Calorieârestriction trial showed improved diet quality and maintained/increased dietary potassium intake, which supports overall nutritional wellbeing.
- Associations of Dietary Macroelements with Knee Joint Structures, Symptoms, Quality of Life, and Comorbid Conditions in People with Symptomatic Knee Osteoarthritis
PubMed ID: 36079832
Higher dietary potassium associated with milder OA symptoms and better QoL in an observational cohort.
- Fluid restriction for preventing bronchopulmonary dysplasia? Reduced fluid intake during the first weeks of life improves the outcome of low-birth-weight infants
PubMed ID: 1511192
Fluid restriction in low-birth-weight infants reduced mortality and BPD, indicating improved overall clinical outcomes.
- Clinical effectiveness of a dentifrice containing potassium chloride as a desensitizing agent
PubMed ID: 1304176
Potassium chloride toothpaste significantly reduced dentinal hypersensitivity in an RCT, improving oral comfort (component of wellbeing).
- Clinical evaluation of a potassium nitrate dentifrice for the treatment of dentinal hypersensitivity
PubMed ID: 8157777
Topical potassium nitrate (5%) markedly reduced dentinal hypersensitivity; symptom relief can contribute to overall wellbeing.
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Preoperative isotonic fluid reduced early postoperative thirst, drowsiness and dizzinessâimproved immediate wellbeing measures.
- Remineralization of primary root caries lesions using an amine fluoride rinse and dentifrice twice a day
PubMed ID: 17542202
AmF/KF daily use produced large improvements in root caries hardness and sensitivity, likely improving oral comfort and wellbeing (potassium component present).
- Measurement of dentin hypersensitivity with the Jay Sensitivity Sensor Probe and the Yeaple probe to compare relief from dentin hypersensitivity by dentifrices
PubMed ID: 24156205
5% potassium nitrate dentifrice reduced dentin hypersensitivity â symptomatic benefit that can improve perceived wellbeing.
Metabolism (66)
- Impact of a Potassium-enriched, Chloride-depleted 5% Glucose Solution on Gastrointestinal Function after Major Abdominopelvic Surgery: Results of a Randomized Controlled Trial
PubMed ID: 27416541
Chlorideâdepleted, potassiumâenriched perioperative solution had measurable effects on electrolytes and reduced need for K+ replacement, implying acidâbase/electrolyte benefits.
- The efficiency of potassium removal during bicarbonate hemodialysis
PubMed ID: 16191080
Serum K+ correlated with HCO3- and pH during bicarbonate dialysis; demonstrates acidâbase modulation of K+.
- Comparison between normal saline and a polyelectrolyte solution for fluid resuscitation in severely dehydrated infants with acute diarrhoea
PubMed ID: 16297299
Polyelectrolyte solution corrected acidosis better than normal saline and produced larger K+ dropsâstrong evidence linking fluid choice, acid-base status, and K+.
- Estimated net endogenous acid production and serum bicarbonate in African Americans with chronic kidney disease
PubMed ID: 21700817
Observational study in CKD linked estimated dietary acid load (including potassium contributions via NEAP) to lower serum bicarbonate â direct link between dietary K-related metrics and acidâbase status.
- Correction of metabolic acidosis with potassium citrate in renal transplant patients and its effect on bone quality
PubMed ID: 22773591
Oral potassium citrate effectively corrected metabolic acidosis in renal transplant recipients and preserved bone parametersâstrong direct evidence for acid-base benefit.
- Increasing alkali supplementation decreases urinary nitrogen excretion when adjusted for same day nitrogen intake
PubMed ID: 28842733
Potassium bicarbonate produced doseârelated decreases in urinary net acid excretion, demonstrating clear acidâbase effects.
- Effects of Sodium Bicarbonate in CKD Stages 3 and 4: A Randomized, Placebo-Controlled, Multicenter Clinical Trial
PubMed ID: 31699517
Sodium bicarbonate raised serum bicarbonate and reduced hyperkalemia episodes in CKD â strong evidence for alkali therapy's effect on acidâbase status with consequential potassium changes (though not a potassium supplement).
- Effects of Fluid Rehydration Strategy on Correction of Acidosis and Electrolyte Abnormalities in Children With Diabetic Ketoacidosis
PubMed ID: 34187840
Fluid rates and saline concentration in DKA changed correction of acidosis and produced differences in hyperchloremic acidosis and potassium trajectories â direct acidâbase relevance.
- Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST-Fluids): a pragmatic, double-blind, randomised, controlled trial
PubMed ID: 37343576
Balanced lowâchloride crystalloid reduced nonâanion gap acidosis versus saline in kidney transplant â fluid electrolyte composition influenced acidâbase balance (indirect potassium relevance).
- A long-term study on the efficacy of a herbal plant, Orthosiphon grandiflorus, and sodium potassium citrate in renal calculi treatment
PubMed ID: 11944733
Sodiumâpotassium citrate is used to alkalinize urine and affects urinary chemistry â direct acid-base relevance.
- Potassium-magnesium citrate versus potassium chloride in thiazide-induced hypokalemia
PubMed ID: 10652038
KâMgâcitrate increased urinary pH by ~0.6 units and urinary citrateâclear alkali/acid-base benefit relevant to stone prevention and systemic acid load.
- Potassium Magnesium Citrate Is Superior to Potassium Chloride in Reversing Metabolic Side Effects of Chlorthalidone
PubMed ID: 37846572
KMgCit increased urine pH and 24âh urinary citrate â an alkalinizing effect consistent with improved acidâbase handling.
- Single versus multiple doses of acetazolamide for metabolic alkalosis in critically ill medical patients: a randomized, double-blind trial
PubMed ID: 10446816
Acetazolamide reversed metabolic alkalosis in dosing comparison; serum potassium was measured (no difference between regimens), so study links acidâbase interventions and K monitoring.
- Acute respiratory acidosis does not increase plasma potassium in normokalaemic anaesthetized patients. A controlled randomized trial
PubMed ID: 11412293
Acute respiratory acidosis did not increase plasma K+ in normokalemic anesthetized patientsâdirectly ties K+ levels to acidâbase disturbance (no acute change observed).
- [Effects of different respiratory rates on PaCO2 and plasma potassium concentration]
PubMed ID: 15181844
Study showed hyperventilation (respiratory alkalosis) lowered plasma Kâdirect link between acidâbase changes and potassium.
- A randomized, double-blind comparison of lactated Ringer's solution and 0.9% NaCl during renal transplantation
PubMed ID: 15845718
NS produced more metabolic acidosis than LR in kidney transplant patients; LR associated with less acidosis and less hyperkalemia.
- No effect of bicarbonate treatment on insulin sensitivity and glucose control in non-diabetic older adults
PubMed ID: 21046483
Potassium bicarbonate neutralized acid load in older adults â direct evidence for acidâbase balancing effect of a potassium salt.
- Role of combined use of potassium citrate and tamsulosin in the management of uric acid distal ureteral calculi
PubMed ID: 21858663
Potassium citrate (UralytâU) used to alkalinize urine and significantly increased stone passage ratesâstrongly relevant to acidâbase urinary chemistry.
- Net endogenous acid production is associated with a faster decline in GFR in African Americans
PubMed ID: 22475819
Primary study linking net endogenous acid production (NEAP) and estimated potassium intake to kidney functionâdirectly addresses acidâbase balance implications of potassium intake.
- A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate
PubMed ID: 23393104
Fruits/vegetables or bicarbonate improved metabolic acidosis markers in stage 4 CKD, demonstrating dietary alkali effects (potassiumârich foods) on acidâbase balance.
- Prevention of contrast-induced nephropathy with Na/K citrate
PubMed ID: 23349296
Na/K citrate provides alkali and was used to reduce contrast nephropathy; directly relevant to acidâbase modulation.
- Dissolution therapy versus shock wave lithotripsy for radiolucent renal stones in children: a prospective study
PubMed ID: 24679880
Potassium citrate therapy alkalinizes urine (citrate) and is used to dissolve radiolucent stonesâdirect evidence for acid-base modification by a potassium salt.
- A phase 2 study on the treatment of hyperkalemia in patients with chronic kidney disease suggests that the selective potassium trap, ZS-9, is safe and efficient
PubMed ID: 25651363
ZS-9 treatment was associated with increases in serum bicarbonate (~+2.7 mmol/L), indicating an effect on acidâbase parameters.
- An acetate-buffered balanced crystalloid versus 0.9% saline in patients with end-stage renal disease undergoing cadaveric renal transplantation: a prospective randomized controlled trial
PubMed ID: 25185593
Balanced (lower-chloride) fluids reduced metabolic acidosis vs saline in kidney transplant patients; although hyperkalemia rates were similar, acidâbase benefit was clear.
- Na/K citrate versus sodium bicarbonate in prevention of contrast-induced nephropathy
PubMed ID: 27215244
Na/K citrate (alkalinizing agent containing K) was compared with sodium bicarbonate for CIN prophylaxis and preserved serum K slightlyâdirect acidâbase and K relevance.
- A Randomized Trial Comparing the Safety, Adherence, and Pharmacodynamics Profiles of Two Doses of Sodium Bicarbonate in CKD: the BASE Pilot Trial
PubMed ID: 31848294
Oral bicarbonate dosing raised serum bicarbonate without changing serum K+ and altered urinary ammoniumâdirectly relevant to acid-base modulation.
- Prevention of Contrast-induced Nephropathy in Patients with Chronic Kidney Disease Undergoing Elective Coronary Angioplasty or Angiography with Sodium Potassium Citrate Solution, a Double Blind Randomized Clinical Trial
PubMed ID: 31209191
Oral Na/K citrate increased urine pH in treated patients (subgroup), demonstrating an effect on acidâbase excretion.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK lowered lactate and improved perioperative acidâbase/metabolic parameters â relevant to systemic acidâbase balance.
- Effect of sodium bicarbonate supplementation on the renin-angiotensin system in patients with chronic kidney disease and acidosis: a randomized clinical trial
PubMed ID: 33382448
Oral bicarbonate in CKD corrected metabolic acidosis and reduced urinary ammonium â direct acidâbase therapy.
- Oral sodium bicarbonate in people on haemodialysis: a randomised controlled trial
PubMed ID: 34674667
Oral sodium bicarbonate raised preâdialysis bicarbonate and reduced interâdialytic K gain â direct acidâbase intervention with K effects.
- Diet-dependent acid load is associated with mean arterial pressure in a cohort of non-obese, non-black, postmenopausal women
PubMed ID: 34614363
Study directly assessed dietary potential renal acid load (UPRAL) and its association with blood pressure, adjusted for potassium â acidâbase relevance.
- Comparison potassium sodium hydrogen citrate with sodium bicarbonate in urine alkalization: a prospective crossover-controlled trial
PubMed ID: 36261757
Potassiumâsodiumâhydrogen citrate produced greater and higher peak urinary alkalinization than sodium bicarbonateâdirect acidâbase effect.
- Clinical efficacy of dexamethasone on diabetic ketoacidosis complicated with acute pancreatitis: A randomized controlled study
PubMed ID: 37832092
Dexamethasone in DKA with pancreatitis increased serum K+ and improved pH from severe acidosis to near-normal â relates to K+ shifts with acidâbase correction.
- Oral alkalinizing supplementation suppressed intrarenal reactive oxidative stress in mild-stage chronic kidney disease: a randomized cohort study
PubMed ID: 38872014
Potassium-containing citrate raised urinary pH and reduced markers of oxidative stress in CKD â direct evidence for alkali/acid-base effects.
- The Effects of a Whole-Food Plant-Based Nutrition Education Program on Blood Pressure and Potassium in Chronic Kidney Disease: A Proof-of-Concept Study
PubMed ID: 40077649
Wholeâfood, plantâbased program increased fruit/veg (potassium) intake in CKDâplant K is alkalinizing and can affect acidâbase balance.
- Treatment of hyperkalaemia by altering the transcellular gradient in patients with renal failure: effect of various therapeutic approaches
PubMed ID: 9487416
Study compared use of bicarbonate among therapies to lower potassiumâbicarbonate affects acid-base and K+ distribution.
- Citraturic, alkalinizing and antioxidative effects of limeade-based regimen in nephrolithiasis patients
PubMed ID: 18560820
Lime drink and potassium citrate raised urinary pH and citrateâevidence of alkali/acidâbase effects.
- Can lemon juice be an alternative to potassium citrate in the treatment of urinary calcium stones in patients with hypocitraturia? A prospective randomized study
PubMed ID: 18946667
Potassium citrate and lemon juice markedly increased urinary citrate and reduced calciumâpotassium citrate is an alkali that improves urinary acidâbase status (strong evidence).
- Noncitrus alkaline fruit: a dietary alternative for the treatment of hypocitraturic stone formers
PubMed ID: 22500592
Acute melon/orange ingestion raised urine pH and urinary citrateâshortâterm acidâbase shifts documented.
- Potassium Citrate is Better in Reducing Salt and Increasing Urine pH than Oral Intake of Lemonade: A Cross-Over Study
PubMed ID: 29605825
Oral potassium citrate increased urine pH in childrenâclear shortâterm acidâbase effect.
- Lime powder regimen supplement alleviates urinary metabolic abnormalities in urolithiasis patients
PubMed ID: 30225852
Lime powder regimen increased urine pH and urinary citrateâdemonstrates alkalinizing/citrate effects relevant to acidâbase balance.
- Randomized double-blind study of potassium citrate in idiopathic hypocitraturic calcium nephrolithiasis
PubMed ID: 8230497
Potassium citrate therapy increases urinary citrate/alkalinizes urine and reduces stone formation â direct acidâbase/alkali effect.
- [Biochemical effects of potassium citrate in the treatment of calcium oxalate lithiasis]
PubMed ID: 8002670
Potassium citrate increased urinary pH and citrateâdemonstrates alkalinizing effects in urine and reduced stone risk.
- Physiological effects of slow release potassium phosphate for absorptive hypercalciuria: a randomized double-blind trial
PubMed ID: 9720517
Potassium phosphate (alkaline anion) altered urinary Ca and vitamin Dâreflects acidâbase and mineral interactions.
- Comparative effects of potassium chloride and bicarbonate on thiazide-induced reduction in urinary calcium excretion
PubMed ID: 10916098
KHCO3 reduced net acid excretion and made net acid excretion negativeâstrong evidence for acidâbase effects of a potassium alkali.
- [Effect of potassium citrate in the prophylaxis of urinary lithiasis]
PubMed ID: 11789361
Potassium citrate after lithotripsy likely works partly via urinary alkalinization; stone recurrence reduction observed.
- Potassium citrate prevents increased urine calcium excretion and bone resorption induced by a high sodium chloride diet
PubMed ID: 11994333
Potassium citrate (an alkali) blunted saltâinduced urinary Ca loss and bone resorptionâconsistent with alkali (acidâbase) benefits on bone.
- Long-term persistence of the urine calcium-lowering effect of potassium bicarbonate in postmenopausal women
PubMed ID: 15572425
Potassium bicarbonate (an alkali) produced sustained beneficial effects on urinary calcium consistent with systemic alkali correction.
- Dietary acid-base balance, bone resorption, and calcium excretion
PubMed ID: 16766781
Dietary increases in renal acid excretion (linked to lower potassium intake) were associated with higher PTH and bone resorptionâsupports role of potassium/alkali in acidâbase balance.
- Partial neutralization of the acidogenic Western diet with potassium citrate increases bone mass in postmenopausal women with osteopenia
PubMed ID: 17035614
Potassium citrate (alkali) increased urine pH and reduced resorptionâevidence of systemic acidâbase impact.
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
KHCO3 reduced urinary calcium and plasma bone turnover markersâdemonstrates alkali effect on acidâbase and bone.
- Alkaline citrate reduces stone recurrence and regrowth after shockwave lithotripsy and percutaneous nephrolithotomy
PubMed ID: 22099273
Citrate therapy alkalinizes urine and reduces stone riskâdirect acidâbase impact.
- Effect of potassium citrate on bone density, microarchitecture, and fracture risk in healthy older adults without osteoporosis: a randomized controlled trial
PubMed ID: 23162100
Long-term potassium citrate increased BMD and reduced fracture risk â consistent with chronic alkali (potassium) effects on acidâbase and bone preservation.
- Potassium citrate supplementation results in sustained improvement in calcium balance in older men and women
PubMed ID: 22991267
Potassium citrate decreased net acid excretion (NAE) and improved calcium balance â supports acidâbase buffering effects of alkali potassium salts.
- Potassium Bicarbonate Supplementation Lowers Bone Turnover and Calcium Excretion in Older Men and Women: A Randomized Dose-Finding Trial
PubMed ID: 25990255
Potassium bicarbonate significantly lowered net acid excretion and bone resorption markersâstrong evidence for acidâbase benefit.
- Association of Urinary Citrate With Acid-Base Status, Bone Resorption, and Calcium Excretion in Older Men and Women
PubMed ID: 29211866
Randomized potassium bicarbonate increased urine citrate and related strongly to net acid excretion and bone-turnover markersârobust acid-base evidence.
- Potassium Citrate Supplementation Decreases the Biochemical Markers of Bone Loss in a Group of Osteopenic Women: The Results of a Randomized, Double-Blind, Placebo-Controlled Pilot Study
PubMed ID: 30213095
Potassium citrate raised urine citrate and urine pH while reducing bone turnover in osteopenic womenâdirect acid-base/bone link.
- Efficacy and safety of an innovative prolonged-release combination drug in patients with distal renal tubular acidosis: an open-label comparative trial versus standard of care treatments
PubMed ID: 32712761
Prolonged-release potassium citrate/bicarbonate substantially improved plasma bicarbonate in dRTA patientsâdirect acid-base therapy.
- Short-Term Supplemental Dietary Potassium from Potato and Potassium Gluconate: Effect on Calcium Retention and Urinary pH in Pre-Hypertensive-to-Hypertensive Adults
PubMed ID: 34959951
Extra dietary potassium increased urine pH and affected urinary Caâevidence of alkali effect on acid-base balance.
- Potassium citrate vs. hydrochlorothiazide to reduce urinary calcium excretion in calcium oxalate stone patients with hypercalciuria: a prospective randomized study
PubMed ID: 33904027
Potassium citrate increased urinary citrate and reduced urinary calcium consistent with alkali-mediated acid-base effects.
- Does potassium citrate administration change the type and composition of encrusted material on Double-J stent compared to primary stone?
PubMed ID: 34050877
Potassium citrate treatment reduced calcium-oxalate and uric-acid encrustation on stents; citrate acts to alkalinize urine and modify acid-base effects in urine.
- Sodium Bicarbonate Treatment and Vascular Function in CKD: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 37228030
Oral sodium bicarbonate raised plasma bicarbonate in CKD patients (acid-base therapy) â relevant to acid-base balance; potassium effects were not central.
- Effect of low-potential renal acid load diet intervention on urinary lithogenic parameters in recurrent calcium urolithiasis patients (A Preliminary Randomized Controlled Trialďź
PubMed ID: 41251791
Potassium citrate produced significant favorable changes in urinary PRAL and urine pH â direct acidâbase modulation evidence relevant to stone patients.
- Effect of potassium citrate supplementation or increased fruit and vegetable intake on bone metabolism in healthy postmenopausal women: a randomized controlled trial
PubMed ID: 18689384
Highâdose potassium citrate produced a transient change in a bone marker (consistent with shortâterm alkalinizing action) but no sustained BMD change.
- POTASSIUM CITRATE DECREASES BONE RESORPTION IN POSTMENOPAUSAL WOMEN WITH OSTEOPENIA: A RANDOMIZED, DOUBLE-BLIND CLINICAL TRIAL
PubMed ID: 26401577
Potassium citrate (alkalinizing) reduced bone resorption markers consistent with reduced acid load and preserved boneâclear acidâbase effect.
- A comparison of Plasmalyte 148 and 0.9% saline for intra-operative fluid replacement
PubMed ID: 7978133
0.9% saline caused hyperchloraemic acidosis vs Plasmalyte with no potassium change; shows fluid choice affects acidâbase balance.
Cell health (53)
- Patiromer versus placebo to enable spironolactone use in patients with resistant hypertension and chronic kidney disease (AMBER): results in the pre-specified subgroup with heart failure
PubMed ID: 32452085
Patiromer-controlled K levels in CKD patients can preserve cellular electrochemical function and permit appropriate HF therapy.
- Cold blood versus cold crystalloid cardioplegia for repair of ventricular septal defects in pediatric heart surgery: a randomized controlled trial
PubMed ID: 12173840
Blood cardioplegia in children caused much smaller ATP loss and less troponin release compared with crystalloid.
- High-dose glucose-insulin-potassium treatment reduces myocardial apoptosis in patients with acute myocardial infarction
PubMed ID: 15733070
GIK with potassium in AMI decreased apoptotic marker sFas, indicating an effect on cellular survival pathways (confounded by insulin/glucose).
- [Effects of high dose glucose-insulin-potassium infusion on myocardial injury and serum sFas/ sFasL concentration in acute myocardial infarction]
PubMed ID: 16080838
Related GIK report supporting reduced apoptotic signaling postâAMI â implicates cellular effects of regimen containing K.
- Magnesium repletion and its effect on potassium homeostasis in critically ill adults: results of a double-blind, randomized, controlled trial
PubMed ID: 8565536
Restoring magnesium improved intracellular milieu leading to net potassium retention â supports cellular ionic homeostasis.
- The protective effect of propofol on erythrocytes during cardiopulmonary bypass
PubMed ID: 11523253
Significant increase in NaâKâATPase activity in erythrocytes after interventionâdirect cellular ionâtransport effect relevant to cell function.
- Determinants of salt sensitivity in black and white normotensive and hypertensive women
PubMed ID: 14610097
Intracellular erythrocyte K was associated with saltâsensitivity of BP â intracellular K measurements link to cell function and systemic responses.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Increased potassium absorption with rice-based ORS will directly supply K+ required for cellular electrolyte gradients and function.
- Dietary intervention with a specific micronutrient combination for the treatment of patients with cardiac arrhythmias: the impact on insulin resistance and left ventricular function
PubMed ID: 30509185
Micronutrient tablet (with K) improved insulin resistance (HOMAâIR) and LVMI, implying cellular metabolic effects where K may contribute.
- Continuous warm versus intermittent cold blood cardioplegia for coronary bypass surgery in patients with left ventricular dysfunction
PubMed ID: 7495583
K dosing differences associated with favorable rhythm recovery and transient K changes â implies cellular electrophysiologic effects.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Oral potassium salts restored serum potassium; normal intracellular/extracellular K gradients are central to cellular physiology.
- Effects of hydrochlorothiazide, diltiazem and enalapril on mononuclear cell sodium and magnesium levels in systemic hypertension
PubMed ID: 1951126
Thiazide-induced decreases in intracellular mononuclear cell potassium/magnesium demonstrate potassium's role in cell homeostasis.
- Intravenous phosphate in the intensive care unit: more aggressive repletion regimens for moderate and severe hypophosphatemia
PubMed ID: 12845429
IV potassium phosphate corrected hypophosphatemia, restoring phosphate needed for cellular energy/ATP â direct relevance to cellular function (but hyperkalemia risk).
- Efficacy and safety of a modified oral rehydration solution (ReSoMaL) in the treatment of severely malnourished children with watery diarrhea
PubMed ID: 14615732
Correction of hypokalemia restores intracellular/extracellular K+ gradients essential for cellular excitability and metabolic function.
- Acute hyperkalemia associated with inhalation of a potent ENaC antagonist: Phase 1 trial of GS-9411
PubMed ID: 23905576
Systemic potassium elevations after ENaC blockade can influence cellular excitability and transport processes.
- Half-molar sodium lactate infusion improves cardiac performance in acute heart failure: a pilot randomised controlled clinical trial
PubMed ID: 24666826
Marked decrease in serum K+ in acute HF affects cellular resting potentials and function.
- Increasing alkali supplementation decreases urinary nitrogen excretion when adjusted for same day nitrogen intake
PubMed ID: 28842733
By reducing acid load and urinary nitrogen loss, potassium bicarbonate supports intracellular/wholeâbody metabolic milieu relevant to cellular function.
- Correction of hypoxic effects on target organs in pneumonia with phytotherapy
PubMed ID: 39681530
Phytopreparation increased total and Na+/K+âATPase activity (direct cellular ionâpump effect).
- Potassium supplementation inhibits IL-17A production induced by salt loading in human T lymphocytes via p38/MAPK-SGK1 pathway
PubMed ID: 27020669
K supplementation reversed saltâinduced ILâ17A increases and modified p38/SGK1 signalling in T cellsâdirect cellular signalling effects.
- Effects of Potassium Magnesium Citrate Supplementation on 24-Hour Ambulatory Blood Pressure and Oxidative Stress Marker in Prehypertensive and Hypertensive Subjects
PubMed ID: 27448942
KMgCit lowered an oxidativeâstress urinary marker (8âisoprostane) and altered serum electrolytes â suggests support for cellular oxidative status and function.
- Potassium Magnesium Citrate Is Superior to Potassium Chloride in Reversing Metabolic Side Effects of Chlorthalidone
PubMed ID: 37846572
KMgCit improved metabolic markers (FPG) and increased urinary citrate/urine pH, implying benefits to cellular metabolic environment.
- The effect of thiazide therapy on glucose, insulin and cholesterol metabolism and of glucose on potassium: results of a cross-sectional study in patients from the Hypertension Detection and Follow-up Program
PubMed ID: 2283639
Correlations between serum K and glucose/insulin suggest K influences cellular glucose handling and cellular function.
- [Evaluation of acute and chronic effects of ketanserin in the treatment of hypertension and hypothesis on a new mechanism of action]
PubMed ID: 2102130
Ketanserin altered erythrocyte Na/K pump activity, indicating effects on cellular ion transport relevant to cellular function (indirect for dietary K).
- The effect on body composition and exercise performance of home parenteral nutrition when given as adjunct to chemotherapy of testicular carcinoma
PubMed ID: 1936109
Total body potassium was measured as a nutritional index in TPN patientsâreflects cellular K stores/status.
- The effect of potassium supplementation in persons with a high-normal blood pressure. Results from phase I of the Trials of Hypertension Prevention (TOHP). Trials of Hypertension Prevention (TOHP) Collaborative Research Group
PubMed ID: 7795836
Oral KCl supplementation changed whole-body K handling, which underpins cellular excitability and function.
- Replacement treatment with biosynthetic human growth hormone in growth hormone-deficient hypopituitary adults
PubMed ID: 7889635
TBK measured in context of body-composition changes; intracellular K (TBK) is a cellular function marker (indirect).
- Potassium supplementation in kwashiorkor
PubMed ID: 9106107
Improved survival and fewer infections with higher K in kwashiorkor indicates restoration of essential cellular/physiologic functions dependent on adequate K.
- [Effect of xianzhen tablet on Na(+)-K(+)-ATPase, Ca(2+)-Mg(2+)-ATPase, of red blood cell membrane in patients with non-insulin dependent diabetes mellitus]
PubMed ID: 9812643
Herbal tablet raised Na+/K+âATPase activity (direct cellular ionâtransport mechanism) with metabolic effects.
- Strength and its relationship to changes in fat-free mass, total body potassium, total body water and IGF-1 in adults with growth hormone deficiency: effect of treatment with growth hormone
PubMed ID: 9974084
TBK measurements reflect intracellular potassium stores; intracellular K is critical for many cellular processes.
- Clinical, biochemical and histochemical assessment of pretreatment with glucose-insulin-potassium for patients undergoing mitral valve replacement in the third and fourth functional groups of the New York Heart Association
PubMed ID: 10519674
GIK increased myocardial glycogen and improved function; K+ is key in cellular membrane potential and metabolism.
- The effect of glucose-insulin-potassium solution on ventricular late potentials and heart rate variability in acute myocardial infarction
PubMed ID: 11696690
GIK improved myocardial cellular electrophysiology and function post-MI; potassium is integral to cellular membrane potential.
- [Role of the Swan-Ganz pulmonary artery (PA) catheter in evaluation of hemodynamic changes during myocardial revascularization in patients with low left ventricular function]
PubMed ID: 12587480
GIK improved oxygen utilization and cardiac performance after surgeryâsupports cellular metabolic recovery in a Kâcontaining therapy (confounded).
- Changes in body composition with weight loss: obese subjects randomized to surgical and medical programs
PubMed ID: 17495195
Measurements of total body potassium during weight-loss interventions reflect intracellular K status and cellular integrity/function (moderate direct evidence).
- Physicochemical modifications induced by statins therapy on human erythrocytes membranes
PubMed ID: 18175550
Statin therapy increased Na+K+âATPase activity and altered membrane properties, suggesting effects on cellular ion transport and function.
- The myocardial protective effects of a moderate-potassium adenosine-lidocaine cardioplegia in pediatric cardiac surgery
PubMed ID: 19114188
Cardioplegia K concentration influenced myocardial injury markers, implying K's role in cardiomyocyte cellular responses to ischemia/reperfusion.
- [Study on safety and efficacy of concentrated potassium chloride infusions in critically ill patients with hypokalemia]
PubMed ID: 18611341
RCT evidence that concentrated K restores serum K efficiently in hypokalemic patientsâsupports cellular processes dependent on intracellular K.
- Inability of healthy subjects to deposit potassium during hypokinesia and potassium supplementation
PubMed ID: 19178877
Changes in muscle K content and plasma K during supplementation imply altered transmembrane K gradients that affect cellular function in muscle cells.
- Out-of-hospital administration of intravenous glucose-insulin-potassium in patients with suspected acute coronary syndromes: the IMMEDIATE randomized controlled trial
PubMed ID: 22452807
GIK aims to shift myocardial metabolism (glucose utilization) and reduced FFA and infarct size in a subgroup â implicates cellular metabolic effects where K is a component.
- Modulation of (Na,K)-ATPase activity by membrane fatty acid composition: therapeutic implications in human hypertension
PubMed ID: 23659494
Increased erythrocyte Na,K-ATPase activity (central to cellular K+ gradients) supports cellular ion transport/function.
- Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial
PubMed ID: 27413123
Demonstrated bioavailability and predictable serum/urinary kinetics of dietary potassium, which is fundamental to cellular membrane potential and function.
- In-hospital measurement of left ventricular ejection fraction and one-year outcomes in acute coronary syndromes: results from the IMMEDIATE Trial
PubMed ID: 27488569
GIK tended to increase LVEF in-hospital, reflecting improved myocardial cellular performance; potassium is a component of the therapy.
- Very early administration of glucose-insulin-potassium by emergency medical service for acute coronary syndromes: Biological mechanisms for benefit in the IMMEDIATE Trial
PubMed ID: 27502865
GIK rapidly lowered FFAs and reduced infarct size, demonstrating a metabolic, cellular-level benefit of a potassium-containing metabolic therapy in ACS.
- Glucose-insulin-potassium improves left ventricular performances after aortic valve replacement: a secondary analysis of a randomized controlled trial
PubMed ID: 31492103
GIK infusion (includes potassium) affects cellular ionic milieu and myocardial cell function as part of the studied cardioprotective mechanism.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK improved lactate and systemic metabolism suggesting improved cellular energetic/ metabolic function.
- Correction of serum potassium with sodium zirconium cyclosilicate in Japanese patients with hyperkalemia: a randomized, dose-response, phase 2/3 study
PubMed ID: 32779057
Correcting serum potassium rapidly restores membrane potential and cellular excitability; SZC study shows effective K normalization in hyperkalemia.
- The effect of increased plasma potassium on myocardial function; a randomized POTCAST substudy
PubMed ID: 37470856
Raising plasma potassium produced measurable improvement in myocardial cellular function indices (GLS, e').
- Effect of phosphorus deficiency on erythrocytic morphology and function in cows
PubMed ID: 27586463
Marked inhibition of Na+/K+âATPase in phosphorusâdeficient cows demonstrates an effect on a key cellular ion pump tied to K handling.
- Effect of oral digoxin, topical ouabain and salbutamol on transepithelial nasal potential difference in patients with cystic fibrosis
PubMed ID: 7493424
Direct study of Na+-K+ ATPase and transepithelial PDâcore cellular ion-transport mechanism that potassium supports.
- Potassium-adsorption filter for RBC transfusion: a phase III clinical trial
PubMed ID: 11134566
Large removal of potassium from stored RBCs and improved RBC recovery relates to cellular K+ content and cell viability/function.
- Changes in serum potassium mediate thiazide-induced diabetes
PubMed ID: 18981326
K decreases from thiazides mediated a large portion of incident diabetes riskâlinks K to insulin/ cellular glucose handling.
- Association of KCNJ1 variation with change in fasting glucose and new onset diabetes during HCTZ treatment
PubMed ID: 22907731
ROMK genetic associations with serum potassium indicate effects on cellular ion homeostasis via renal K handling.
- Warm blood hyperkalaemic reperfusion ('hot shot') prevents myocardial substrate derangement in patients undergoing coronary artery bypass surgery
PubMed ID: 9663539
Warm hyperkalaemic reperfusion preserved myocardial ATP and intracellular amino acids â strong evidence of preserved cellular metabolism.
- A clinical comparative study between crystalloid and blood-based St Thomas' hospital cardioplegic solution
PubMed ID: 10077377
Blood cardioplegia preserved myocardial high-energy phosphates and improved functional recovery after ischemia.
Nerve health (55)
- Interim analysis of the long-term efficacy and safety of azetukalner in an ongoing open-label extension study following a phase 2b clinical trial (X-TOLE) in adults with focal epilepsy
PubMed ID: 40053315
KV7 opener reduced seizure frequency over long term â direct role of neuronal K channels in excitability (pharmacologic evidence).
- Effect of an experimental desensitizing agent on reduction of bleaching-induced tooth sensitivity: A triple-blind randomized clinical trial
PubMed ID: 29439773
Topical 5% potassium nitrate + glutaraldehyde substantially reduced postâbleaching dentin sensitivityâpotassium nitrate acts via nerve depolarization to reduce sensitivity (direct nerve effect).
- A randomized, controlled, two-month pilot trial of stannous fluoride dentifrice versus sodium fluoride dentifrice after oxalate treatment for dentinal hypersensitivity
PubMed ID: 32390092
Potassiumâoxalate professional + atâhome regimen produced rapid, sustained reductions in dentin sensitivityâpotassium component relevant to nerve damping.
- Clinical Effects of Desensitizing Prefilled Disposable Trays in In-office Bleaching: A Randomized Single-blind Clinical Trial
PubMed ID: 31891544
Prefilled trays containing potassium nitrate + fluoride reduced bleaching sensitivity comparably to conventional traysâsupporting potassium's desensitizing/nerve effect.
- Treating hypersensitivity in older adults with silver diamine fluoride: A randomised clinical trial
PubMed ID: 37454789
Topical 5% potassium nitrate produced ~50% reduction in dentine hypersensitivity â consistent with potassium-mediated nerve desensitization locally.
- A TRIPLE-BLIND RANDOMIZED CLINICAL TRIAL COMPARING THE EFFICACY OF A DESENSITIZING AGENT USED WITH AN AT-HOME BLEACHING TECHNIQUE
PubMed ID: 39947775
Potassium-nitrate desensitizing gel halved bleaching sensitivity â supports topical K effect on nerve excitability.
- Randomized clinical trial evaluating kinetic benefits of desensitizing agents: Magnitude, onset, and stability of relief
PubMed ID: 40444818
Potassium-nitrate toothpaste markedly reduced thermal/tactile tooth sensitivity, implying effects on nerve signaling in dentine.
- Effect of copaiba oil-resin on dental sensitivity control and color change after bleaching: A randomized clinical trial
PubMed ID: 40358772
Study used potassium-nitrate gel as active comparator for sensitivity, showing similar efficacy to copaiba gel â supports K effect on neural dental pain.
- An exploratory randomised controlled clinical trial to evaluate the efficacy of an experimental toothpaste in the relief of dentine hypersensitivity
PubMed ID: 41213421
Potassium nitrate toothpaste reduced dentine hypersensitivity by affecting nerve excitation â direct Kâsalt effect on nerves.
- Comparative investigation of the desensitizing efficacy of a new dentifrice: a 14-day clinical study
PubMed ID: 11908356
Topical potassium nitrate (5%) significantly reduced dentinal sensitivityâmechanistically acts on nerve signalling in dentin (direct neural effect of topical K+).
- Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis
PubMed ID: 10632100
Potassiumâsensitive periodic paralysis is a disorder of membrane excitability â directly implicates K in nerve/muscle excitability.
- Gender and age effects on ventricular repolarization abnormality in Japanese general carriers of a G643S common single nucleotide polymorphism for the KCNQ1 gene
PubMed ID: 16723781
KCNQ1 potassium-channel SNP altered measures of ventricular repolarization (ion-channel physiology), directly implicating K-channel function relevant to electrical signaling.
- Potassium sensitivity test (PST) as a measurement of treatment efficacy of painful bladder syndrome/interstitial cystitis: a prospective study with cyclosporine A and pentosan polysulfate sodium
PubMed ID: 17078084
Conversion of the potassium sensitivity test correlated with symptom improvement in PBS/IC, linking potassium-provoked sensory responses and clinical outcomes (sensory/nerve signaling relevance).
- A propensity-matched study of low serum potassium and mortality in older adults with chronic heart failure
PubMed ID: 18691778
Clinical importance of low K in HF patients implies consequences for electrophysiology and nerve/muscle excitability.
- Pharmacogenetic analysis of genes implicated in rodent models of antidepressant response: association of TREK1 and treatment resistance in the STAR(*)D study
PubMed ID: 18288090
TREK1 (KCNK2) potassium channel genetic variants altered antidepressant responseâdirect link between K+ channel function and neuronal signaling/clinical CNS effects.
- Efficacy and safety of adjunctive ezogabine (retigabine) in refractory partial epilepsy
PubMed ID: 20944074
Ezogabine is a neuronal K+ channel opener that reduced seizure frequency â demonstrates the role of K+ currents in neuronal signaling (mechanistic relevance).
- Effects of KCNQ1 polymorphisms on the therapeutic efficacy of oral antidiabetic drugs in Chinese patients with type 2 diabetes
PubMed ID: 21289621
KCNQ1 potassiumâchannel genetic variants modified drug glycaemic responses, indicating functional importance of K channels in cellular signaling pathways.
- Randomized trial of the clinical efficacy of a potassium oxalate-containing mouthrinse in rapid relief of dentin sensitivity
PubMed ID: 24282871
Topical potassium oxalate mouthrinse reduced dentin sensitivityâmechanistically attributed to effects on nerve excitability (local K+ action).
- Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial
PubMed ID: 27413123
Demonstrated rapid increases in serum K from dietary sources â supports potassium's known role in nerve membrane potential (physiologic relevance; study shows bioavailability).
- Prolonged-release fampridine in multiple sclerosis: Improved ambulation effected by changes in walking pattern
PubMed ID: 26762672
Fampridine blocks voltageâgated potassium channels and improved walking/physical function in MSâdirect mechanistic evidence that potassium channels modulate nerve conduction.
- Monitoring long-term efficacy of fampridine in gait-impaired patients with multiple sclerosis
PubMed ID: 28148629
Fampridine (a K+âchannel blocker) improved conduction/walking in MS â directly implicates K+ channel modulation in nerve signaling improvements.
- Population Pharmacokinetics/Pharmacodynamics of 3,4-Diaminopyridine Free Base in Patients With Lambert-Eaton Myasthenia
PubMed ID: 28623849
3,4âDAP is a potassiumâchannel modulator with demonstrated concentrationâresponse for neuromuscular improvement in LambertâEatonâdirect Kâchannel physiology relevance.
- Potassium oxalate mouthrinse reduces dentinal hypersensitivity: A randomized controlled clinical study
PubMed ID: 29728195
Potassium oxalate mouthrinse significantly reduced dentinal hypersensitivity â potassium salts can alter nerve excitability in dentine.
- The Acute and Chronic Cognitive and Cerebral Blood-Flow Effects of Nepalese Pepper (Zanthoxylum armatum DC.) Extract-A Randomized, Double-Blind, Placebo-Controlled Study in Healthy Humans
PubMed ID: 31835620
Zanthoxylum extract modulated neuronal potassium channels (KCNK) and altered cognitive processing and frontal haemodynamicsâmechanistic evidence for effects on nerve signalling.
- A long-term evaluation of experimental potassium oxalate concentrations on dentin hypersensitivity reduction: A triple-blind randomized clinical trial
PubMed ID: 31415787
Topical potassium oxalate reduced dentin hypersensitivityâpotassium salts are known to affect nerve depolarization locally, producing durable analgesia.
- Low-power laser and potassium oxalate gel in the treatment of cervical dentin hypersensitivity-a randomized clinical trial
PubMed ID: 32382926
Topical potassium oxalate reduces dentin hypersensitivity by altering nerve excitability â direct Kâion mechanistic relevance.
- Effect of Ezogabine on Cortical and Spinal Motor Neuron Excitability in Amyotrophic Lateral Sclerosis: A Randomized Clinical Trial
PubMed ID: 33226425
Ezogabine (K+ channel opener) reduced motor neuron excitability in ALSâmechanistic relevance to nerve signaling (drug, not dietary K).
- Impact of the KCNQ2/3 Channel Opener Ezogabine on Reward Circuit Activity and Clinical Symptoms in Depression: Results From a Randomized Controlled Trial
PubMed ID: 33653118
KCNQ2/3 potassiumâchannel opener affected neural activity and improved depression/anhedoniaâdirect link to K+ channel function and neuronal signaling.
- Fampridine in multiple sclerosis patients with acute phase of cervical transverse myelitis: a double-blind, randomized placebo-controlled trial
PubMed ID: 36094772
Fampridine is a potassiumâchannel blocker that improved functional outcomes in transverse myelitis â directly implicates K+ channel modulation in nerve conduction.
- Assessment of the Oral Health Impact Profile (OHIP-14) improvement of different treatments for dentin hypersensitivity in noncarious cervical lesions-a randomized clinical study
PubMed ID: 35796800
Topical potassium oxalate reduced dentin hypersensitivity likely by affecting nerve excitability in dentinal tubules â local K+ effect on nerve signaling.
- Efficacy and Safety of XEN1101, a Novel Potassium Channel Opener, in Adults With Focal Epilepsy: A Phase 2b Randomized Clinical Trial
PubMed ID: 37812429
XEN1101 is a potassium-channel opener that reduced seizures â mechanistic link to neuronal K-channel function (drug study rather than systemic K).
- Effects of the KCNQ (Kv7) Channel Opener Ezogabine on Resting-State Functional Connectivity of Striatal Brain Reward Regions, Depression, and Anhedonia in Major Depressive Disorder: Results From a Randomized Controlled Trial
PubMed ID: 40049579
Potassiumâchannel opener (ezogabine) altered brain reward circuitry and symptoms â demonstrates the role of K channels in neural signaling (drug study).
- Effect of phosphorus deficiency on erythrocytic morphology and function in cows
PubMed ID: 27586463
Marked inhibition of Na+/K+âATPase in phosphorusâdeficient animals suggests impaired ionic gradients critical for nerve signaling.
- Effect of oral digoxin, topical ouabain and salbutamol on transepithelial nasal potential difference in patients with cystic fibrosis
PubMed ID: 7493424
Study of transepithelial PD and Na+-K+ ATPase activityâdirectly tied to ion transport central to membrane potentials and signaling.
- Comparison of clinical efficacy of a dentifrice containing calcium sodium phosphosilicate to a dentifrice containing potassium nitrate and to a placebo on dentinal hypersensitivity: a randomized clinical trial
PubMed ID: 20370417
Topical potassium nitrate reduced dentin hypersensitivityâlocal effect on nerve excitability in teeth.
- Short-term Efficacy of Agents Containing KNO3 or CPP-ACP in Treatment of Dentin Hypersensitivity
PubMed ID: 25028689
Topical potassium nitrate produced rapid dentin desensitizationâpotassium salts act on nerve endings to reduce sensitivity (direct nerve effect).
- Evaluating the safety and potential activity of URO-902 (hMaxi-K) gene transfer by intravesical instillation or direct injection into the bladder wall in female participants with idiopathic (non-neurogenic) overactive bladder syndrome and detrusor overactivity from two double-blind, imbalanced, placebo-controlled randomized phase 1 trials
PubMed ID: 31945197
BK channel gene therapy affects potassium channel function and bladder excitabilityâmechanistic relevance to K-channelâmediated signaling (not K supplementation).
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Restoration of serum potassium via oral replacement supports membrane potentials and neuronal excitability.
- Clinical evaluation of a potassium nitrate dentifrice for the treatment of dentinal hypersensitivity
PubMed ID: 8157777
Topical potassium nitrate significantly reduced dentinal hypersensitivity, consistent with modulation of nerve excitability (direct effect on sensory nerve signaling).
- Anticalculus efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride in a silica base: a twelve-week clinical study
PubMed ID: 8534381
Potassiumânitrateâcontaining toothpaste significantly reduced supragingival calculus and increased calculusâfree sites; potassium nitrate is established as a nerveâdesensitizing agent in dentifrices (topical nerve effect).
- Efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride on dentinal hypersensitivity: a twelve-week clinical study
PubMed ID: 8534380
Randomized trial: potassiumânitrate dentifrice significantly reduced dentin hypersensitivity (mechanism involves modulation of nerve excitabilityâstrong topical evidence for K salts affecting nerve signaling).
- Desensitizing effect of a potassium chloride dentifrice
PubMed ID: 9115686
Potassium chloride toothpaste reduced tooth sensitivity, consistent with reduced nerve firing.
- Efficacy of a potassium nitrate mouthwash in alleviating cervical dentine sensitivity (CDS)
PubMed ID: 8951626
3% potassium nitrate mouthwash reduced tactile and air tooth sensitivity vs controlâsupports potassiumâs local effect on sensory nerve signalling.
- Desensitizing efficacy of a new dentifrice containing 5.0% potassium nitrate and 0.454% stannous fluoride
PubMed ID: 11763944
Topical potassium nitrate reduces dentin nerve sensitivity by affecting nerve excitability.
- Desensitizing efficacy of Colgate Sensitive Maximum Strength and Fresh Mint Sensodyne dentifrices
PubMed ID: 11763945
Similar potassium nitrate dentifrice effect on dentin hypersensitivityâimplicates nerve modulation.
- A new desensitizing dentifrice--an 8-week clinical investigation
PubMed ID: 11908355
Another RCT showing potassium nitrate reduces sensory responsesânerve signaling relevance.
- Comparative investigations of the desensitising efficacy of a new dentifrice
PubMed ID: 11686824
Potassium nitrate dentifrice reduces dentine sensitivity by altering neuronal excitability â direct clinical evidence of K salt affecting nerve signaling.
- Dentinal hypersensitivity: a 12-week study of a novel dentifrice delivery system comparing different brushing times and assessing the efficacy for hard-to-reach molar teeth
PubMed ID: 19278086
Topical 5% KNO3 gelâtoâfoam significantly reduced air/tactile sensitivityâconsistent with local potassium-mediated nerve desensitization.
- Assessing the effect of a desensitizing agent used before in-office tooth bleaching
PubMed ID: 19797554
Potassiumânitrate desensitizing gel applied before bleaching reduced incidence/intensity of sensitivityâlocal nerve dampening effect.
- Clinical comparative study of the effectiveness of and tooth sensitivity to 10% and 20% carbamide peroxide home-use and 35% and 38% hydrogen peroxide in-office bleaching materials containing desensitizing agents
PubMed ID: 22616927
Topical potassium nitrate used as dental desensitizer â acts on nerve depolarization pathways; directly implicates K in nerve-related effects (topical).
- Efficacy of a commercial dentifrice containing 2% strontium chloride and 5% potassium nitrate for dentin hypersensitivity: a 3-day clinical study in adults in China
PubMed ID: 22385928
5% potassiumânitrate dentifrice produced rapid, significant reductions in dentin hypersensitivityâmechanistically attributed to K+ effects on nerve excitability (local nerve action).
- Desensitizing treatments for dentin hypersensitivity: a randomized, split-mouth clinical trial
PubMed ID: 22641447
Topical potassium oxalate reduced dentin hypersensitivity in a randomized trialâlocal potassium salt effect on sensitivity likely via nerve mechanisms.
- Acute hyperkalemia associated with inhalation of a potent ENaC antagonist: Phase 1 trial of GS-9411
PubMed ID: 23905576
ENaC blocker caused systemic potassium rises â demonstrates that potassium perturbations affect excitability and signaling potential; direct nerve studies absent but physiology is relevant.
- Randomized, Controlled Trial of the Effect of Dietary Potassium Restriction on Nerve Function in CKD
PubMed ID: 28893921
In CKD, dietary potassium restriction slowed neuropathy progression and improved gait speed, indicating potassium intake influences peripheral nerve outcomes (though this was restriction rather than supplementation).
- A Randomized Clinical Study to Evaluate the Efficacy of an Experimental 3.75% (w/w) Potassium Chloride Dentifrice for the Relief of Dentin Hypersensitivity
PubMed ID: 28657700
3.75% KCl dentifrice produced clinically meaningful reductions in tooth sensitivityâmechanism involves modulation of nerve excitability in dentin.
Blood sugar (34)
- The effect of glucose-insulin-potassium solution on ventricular late potentials and heart rate variability in acute myocardial infarction
PubMed ID: 11696690
GIK regimen combines glucose and insulin with potassium to facilitate cellular glucose uptake and intracellular K+ shiftsâdirect relevance to carbohydrate utilization.
- Validation of a glucose-insulin-potassium infusion algorithm in hospitalized diabetic patients
PubMed ID: 12542559
GIK infusion produced better bloodâglucose control than multiple injections in hospitalized diabetics â shows improved carbohydrate handling with a regimen that includes potassium.
- Effects of glucose-insulin-potassium solution on myocardial salvage and left ventricular function after primary angioplasty
PubMed ID: 12973173
GIK therapy explicitly combines glucose, insulin and potassium to influence myocardial metabolism after MI; the protocol targets carbohydrate use/metabolism with potassium as a component.
- ST-segment elevation resolution and outcome in patients treated with primary angioplasty and glucose-insulin-potassium infusion
PubMed ID: 15976800
Glucoseâinsulinâpotassium (GIK) infusion is directly intended to modulate myocardial glucose use; potassium is a component of this metabolic regimen.
- Effect of modified glucose-insulin-potassium on free fatty acids, matrix metalloproteinase, and myoglobin in ST-elevation myocardial infarction
PubMed ID: 18036357
Modified GIK (insulinâglucoseâpotassium) attenuated early free fatty acid rise and altered myocardial metabolic biomarkers after STEMIâshows K as component of metabolic (glucose/insulin) therapy with metabolic effects.
- Randomized, controlled trial of insulin for acute poststroke hyperglycemia
PubMed ID: 20437554
Glucoseâpotassiumâinsulin infusion directly targets glucose metabolism and cellular uptake; potassium is part of the infusion facilitating cellular K+/glucose shifts.
- Out-of-hospital administration of intravenous glucose-insulin-potassium in patients with suspected acute coronary syndromes: the IMMEDIATE randomized controlled trial
PubMed ID: 22452807
GIK therapy (glucoseâinsulinâK) is intended to promote glucose uptake/utilization in ischemic myocardium; trial showed metabolic effects (lower FFA) consistent with altered carbohydrate use.
- One-Year Outcome of Intensive Insulin Therapy Combined to Glucose-Insulin-Potassium in Acute Coronary Syndrome: A Randomized Controlled Study
PubMed ID: 29138181
GIK therapy (glucoseâinsulinâpotassium) combines glucose and insulin with potassium to affect myocardial metabolism â directly ties K+ to carbohydrate utilization in a therapeutic setting.
- The Amelioration of Insulin Resistance in Salt Loading Subjects by Potassium Supplementation is Associated with a Reduction in Plasma IL-17A Levels
PubMed ID: 28926857
Oral KCl reversed highâsaltâinduced insulin resistance (HOMAâIR) in humans â direct evidence K+ affects carbohydrate metabolism/insulin sensitivity.
- Glucose-insulin-potassium improves left ventricular performances after aortic valve replacement: a secondary analysis of a randomized controlled trial
PubMed ID: 31492103
GIK therapy combines glucose, insulin and potassium to influence myocardial metabolism; although effects cannot be attributed to K alone, the protocol is directly about carbohydrate delivery/utilization in the presence of K.
- Effect of Steamed Potato Bread Intake on Glucose, Lipids, and Urinary Na(+) and K(+): A Randomized Controlled Trial with Adolescents
PubMed ID: 32235690
Replacing wheat with potatoâwheat bread lowered fasting insulin and altered metabolic markers â dietary Kârich food influenced carbohydrate metabolism.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK (glucoseâinsulinâpotassium) directly modulates glucose utilization and improved lactate outcomes â strong relevance to carbohydrate use.
- Glucose-insulin-potassium infusion for the treatment of acute aluminum phosphide poisoning: an open-label pilot study
PubMed ID: 32129101
GIK protocol explicitly uses glucose and insulin to drive potassium into cells â directly links K therapy with carbohydrate/insulin metabolism in acute care.
- A randomized, double-blind, crossover study of the effect of the fluoroquinolone moxifloxacin on glucose levels and insulin sensitivity in young men and women
PubMed ID: 36054143
Kv11.1 (K+ channel) blockade by moxifloxacin decreased early insulin secretion and altered glucose handlingâmechanistic link to carbohydrate use.
- Glucose potassium insulin infusions in the treatment of acute stroke patients with mild to moderate hyperglycemia: the Glucose Insulin in Stroke Trial (GIST)
PubMed ID: 10187881
Glucoseâinsulinâpotassium (GKI) infusion was used to lower plasma glucose in hyperglycemic stroke patients; potassium was part of a regimen directly tied to carbohydrate/insulin therapy.
- Metabolic modulation of acute myocardial infarction. The ECLA (Estudios CardiolĂłgicos LatinoamĂŠrica) Collaborative Group
PubMed ID: 9867443
GIK contains glucose and insulin alongside potassium; the regimen directly targets carbohydrate metabolism in acute MI (potassium part of the combined metabolic intervention).
- Feasibility of insulin-glucose infusion in diabetic patients with acute myocardial infarction. A report from the multicenter trial: DIGAMI
PubMed ID: 7988298
Insulinâglucose infusion in MI primarily targeted glucose lowering and caused predictable K shifts â directly demonstrates insulin-mediated carbohydrate use and K movement.
- Potassium Magnesium Citrate Is Superior to Potassium Chloride in Reversing Metabolic Side Effects of Chlorthalidone
PubMed ID: 37846572
KMgCit reduced fasting plasma glucose compared with KCl in hypertensive patients â direct, randomized evidence that a K+ formulation can improve glucose metabolism.
- Insulin decreases the serum potassium concentration during the anhepatic stage of liver transplantation
PubMed ID: 8466068
IV insulin (with glucose) produced predictable large cellular K uptakeâdemonstrates the close physiologic interaction between insulin/glucose handling and potassium distribution.
- [Comparative effects of captopril and chlorthalidone on glucose tolerance and insulin levels essential hypertensives]
PubMed ID: 9035467
Thiazide-induced hypokalemia was associated with worsened glucose tolerance and lower insulin sensitivity â strong evidence that potassium status influences carbohydrate metabolism.
- Lisinopril administration improves insulin action in aged patients with hypertension
PubMed ID: 7562882
Lisinopril improved whole-body glucose disposal and non-oxidative glucose metabolism; fasting plasma K increased modestly, linking observed K change with improved glucose handling (though ACE inhibitor was the intervention).
- Glucose and insulin levels during diuretic therapy in hypertensive men
PubMed ID: 8206564
Large trial found intracellular potassium levels associated with higher serum insulin and serum potassium associated with glucoseâassociative evidence linking K and carbohydrate/insulin metabolism.
- Coronary revascularization: a procedure in transition from on-pump to off-pump? The role of glucose-insulin-potassium revisited in a randomized, placebo-controlled study
PubMed ID: 12154417
GIK suppressed NEFA and altered metabolic substrate handling; potassium is a component facilitating insulin/GK effects.
- Prebypass glucose-insulin-potassium infusion in elective nondiabetic coronary artery surgery patients
PubMed ID: 1384762
Study of glucoseâinsulinâpotassium (GIK) infusion impacted perioperative glucose and insulin levels; K was a component in a regimen designed to alter carbohydrate metabolism.
- Dietary intervention with a specific micronutrient combination for the treatment of patients with cardiac arrhythmias: the impact on insulin resistance and left ventricular function
PubMed ID: 30509185
Micronutrient tablet (including K) improved HOMAâIR (insulin resistance) â indicates improved carbohydrate metabolism where potassium may contribute.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Rice-based ORS (carbohydrate-based solution) improved fluid and electrolyte absorption and thus practical carbohydrate-electrolyte delivery for rehydration.
- Effect of amiloride, or amiloride plus hydrochlorothiazide, versus hydrochlorothiazide on glucose tolerance and blood pressure (PATHWAY-3): a parallel-group, double-blind randomised phase 4 trial
PubMed ID: 26489809
Amiloride improved 2âhour OGTT glucose vs hydrochlorothiazide (consistent effect on carbohydrate tolerance/metabolism tied to Kâsparing therapy).
- The effects of NN414, a SUR1/Kir6.2 selective potassium channel opener, in healthy male subjects
PubMed ID: 15951466
Single dose of selective KATP opener NN414 lowered glucose and insulin measuresâdirect, acute effect on glucose handling (pharmacologic study).
- Genetic cause of hyperglycaemia and response to treatment in diabetes
PubMed ID: 14575972
HNFâ1Îą mutation patients were highly sensitive to sulfonylureas (KATP pathway) with large fasting glucose reductions â links KATP biology to glucose handling.
- Association studies of variants in promoter and coding regions of beta-cell ATP-sensitive K-channel genes SUR1 and Kir6.2 with Type 2 diabetes mellitus (UKPDS 53)
PubMed ID: 11318841
Kir6.2 (KATP subunit) E23K variant associated with higher type 2 diabetes frequency â KATP genetics linked to glucose metabolism.
- Association of KCNJ1 variation with change in fasting glucose and new onset diabetes during HCTZ treatment
PubMed ID: 22907731
KCNJ1 (renal K channel) variants were associated with larger fasting glucose rises and higher new-onset diabetes risk during thiazide therapyâimplicates potassium handling in glucose metabolism.
- Comparison of a continuous glucose-insulin-potassium infusion versus intermittent bolus application of insulin on perioperative glucose control and hormone status in insulin-treated type 2 diabetics
PubMed ID: 11435055
GIK (glucoseâinsulinâpotassium) vs intermittent insulin compared metabolic control perioperatively; as a K+ containing regimen it influenced carbohydrate/insulin relations.
- Treatment of hyperkalaemia by altering the transcellular gradient in patients with renal failure: effect of various therapeutic approaches
PubMed ID: 9487416
One effective therapy arm relied on glucose+insulin to shift potassium intracellularlyâdirect tie between glucose/insulin and K+ handling.
- The effect of thiazide therapy on glucose, insulin and cholesterol metabolism and of glucose on potassium: results of a cross-sectional study in patients from the Hypertension Detection and Follow-up Program
PubMed ID: 2283639
Large study showing a glucose load produced measurable serum K decreases and correlations between K and glucose/insulin measures â strong evidence linking K dynamics to carbohydrate metabolism.
Muscle maintenance (31)
- Magnesium repletion and its effect on potassium homeostasis in critically ill adults: results of a double-blind, randomized, controlled trial
PubMed ID: 8565536
Magnesium repletion in hypokalemic ICU patients turned potassium balance from negative to positive and reduced replacement needs â improved K balance supports muscle function.
- Associations of Dietary Macroelements with Knee Joint Structures, Symptoms, Quality of Life, and Comorbid Conditions in People with Symptomatic Knee Osteoarthritis
PubMed ID: 36079832
Higher dietary potassium associated with slightly stronger lower-limb muscle strength in people with knee OA in observational analysis.
- Shaoyao-Gancao decoction for the treatment of muscle cramps in maintenance hemodialysis: A prospective randomized crossover controlled trial
PubMed ID: 40204247
Shaoyao-Gancao decoction reduced muscle-cramp frequency in hemodialysis patients and modestly lowered pre-dialysis potassium; direct muscle symptom benefit.
- Succinylcholine pretreatment using gallamine or mivacurium during rapid sequence induction in children: a randomized, controlled study
PubMed ID: 11435054
Mivacurium before succinylcholine prevented the usual potassium and muscle enzyme rises in children â preserved muscle biomarker profile and reduced fasciculations.
- [Precurarization with rocuronium prevents fasciculations and biochemical changes after succinylcholine administration]
PubMed ID: 15168925
Rocuronium precurarization attenuated early K and myoglobin rises and markedly reduced fasciculations â muscle-protection relevance.
- Continuous warm versus intermittent cold blood cardioplegia for coronary bypass surgery in patients with left ventricular dysfunction
PubMed ID: 7495583
Higher K dosing associated with more frequent spontaneous rhythm return â cardiac muscle effect.
- Minimally-diluted blood cardioplegia supplemented with potassium and magnesium for combination of 'initial, continuous and intermittent bolus' administration
PubMed ID: 15118290
K/Mg cardioplegia improved spontaneous heartbeat recovery â direct relevance to cardiac muscle function.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Oral potassium replacement normalized serum potassiumâimportant for skeletal muscle excitability and function.
- Effects of hydrochlorothiazide, diltiazem and enalapril on mononuclear cell sodium and magnesium levels in systemic hypertension
PubMed ID: 1951126
Thiazide-induced decreases in serum and intracellular cations (including K+) can impair muscle cell ion homeostasis.
- Increasing alkali supplementation decreases urinary nitrogen excretion when adjusted for same day nitrogen intake
PubMed ID: 28842733
Nitrogenâsparing effect of potassium bicarbonate suggests reduced muscle protein breakdown, supporting muscle maintenance/function.
- Nutritional intake as a determinant of high-speed resistance and multicomponent training efficacy on strength in older women at risk of sarcopenia. A randomized clinical trial
PubMed ID: 39999641
In older women, lower dietary potassium was moderately associated with smaller strength gains from resistance training â direct observational evidence linking potassium intake to muscle function/strength response.
- Hypokalemia During Decongestion With Loop Diuretics and Hydrochlorothiazide, a Post Hoc Analysis of the CLOROTIC Trial
PubMed ID: 40590131
Diureticâinduced hypokalemia risk affects muscle function (weakness, cramps) â relevant to muscle support via K management.
- Treatment of hypertension in the elderly: I. Blood pressure and clinical changes. Results of a Department of Veterans Affairs Cooperative Study
PubMed ID: 2318517
High-dose thiazide caused substantial hypokalemia in many patientsâhypokalemia is known to impair muscle function.
- Replacement treatment with biosynthetic human growth hormone in growth hormone-deficient hypopituitary adults
PubMed ID: 7889635
GH replacement increased lean mass and TBK was measured â TBK relates to intracellular K and muscle mass/function (indirect).
- Functional and metabolic consequences of sarcopenia
PubMed ID: 9164283
In frail elderly, wholeâbody potassium correlated moderately with leg strength (observational), suggesting K status relates to muscle mass/function.
- Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial
PubMed ID: 27413123
Clear demonstration that dietary potassium (potatoes) is bioavailable and rapidly increases serum and urinary K â supports physiological role in muscle excitability/function.
- The myocardial protective effects of a moderate-potassium blood cardioplegia in pediatric cardiac surgery: a randomized controlled trial
PubMed ID: 22795063
Cardioplegia potassium concentration influenced myocardial (cardiac muscle) protection and early recovery metrics â K effect on muscle (heart) performance.
- Frequency and predictors of hyperkalemia in patients âĽ60 years of age with heart failure undergoing intense medical therapy
PubMed ID: 22152974
Hyperkalemia is common in intensive HF treatment and can affect muscle and neuromuscular functionâstudy highlights clinical risk.
- Hypokalemia and outcomes in patients with chronic heart failure and chronic kidney disease: findings from propensity-matched studies
PubMed ID: 20103777
Hypokalemia is known to impair muscle function; this study links hypokalemia in heart-failure/CKD patients to worse outcomes and likely muscle-related morbidity.
- Inability of healthy subjects to deposit potassium during hypokinesia and potassium supplementation
PubMed ID: 19178877
Direct potassium supplementation study during prolonged low activity showed marked changes in muscle K content and systemic K handling â directly relevant to muscle K physiology.
- [Study on safety and efficacy of concentrated potassium chloride infusions in critically ill patients with hypokalemia]
PubMed ID: 18611341
Randomized trial showing safe, effective correction of hypokalemia in critically ill patientsârestoring K directly supports skeletal and cardiac muscle function.
- The myocardial protective effects of a moderate-potassium adenosine-lidocaine cardioplegia in pediatric cardiac surgery
PubMed ID: 19114188
Cardioplegia K concentration affected myocardial (cardiac muscle) injury and early pressures, indicating K's role in muscle (heart) function.
- Controlled potassium reduction using dialysate profiling in hyperkalemic hemodialysis patients: A randomized study
PubMed ID: 41185428
Dialysate K profiling directly altered serum potassium, which is central to skeletal muscle excitability/function and cramp risk.
- Changes in body composition with weight loss: obese subjects randomized to surgical and medical programs
PubMed ID: 17495195
Total body potassium tracked with changes in fat-free mass during weight loss; links between body potassium and muscle mass/function are plausible (moderate indirect evidence).
- Comparative antiplatelet effects of chlorthalidone and hydrochlorothiazide
PubMed ID: 36067089
Demonstrated significant serum K reductions with thiazidesâhypokalemia is known to impair muscle function (indirect evidence).
- Muscle ion transporters and antioxidative proteins have different adaptive potential in arm than in leg skeletal muscle with exercise training
PubMed ID: 29038365
Highâintensity training altered expression of Na+/K+ pump subunits in muscle â directly relevant to muscle ion handling and function.
- Monitoring long-term efficacy of fampridine in gait-impaired patients with multiple sclerosis
PubMed ID: 28148629
Prolongedârelease fampridine is a potassiumâchannel blocker that improved walking speed/endurance in MS, reflecting improved neuromuscular function via K+ channel mechanisms.
- Does growth hormone allow more efficient nitrogen sparing in postoperative patients requiring parenteral nutrition? A double-blind, placebo-controlled randomised trial
PubMed ID: 16083996
Total body potassium was used as an objective measure of muscle massâlinks potassium status with muscle mass/function.
- Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis
PubMed ID: 10632100
Study in potassiumâsensitive periodic paralysis shows K-related physiology strongly affects muscle attack frequency â relevant to muscle function.
- Strength and its relationship to changes in fat-free mass, total body potassium, total body water and IGF-1 in adults with growth hormone deficiency: effect of treatment with growth hormone
PubMed ID: 9974084
Measured totalâbody potassium and muscle mass/strength: GH increased lean mass but TBK concentrations remained low â direct link between TBK and muscle status.
- Effect of phosphorus deficiency on erythrocytic morphology and function in cows
PubMed ID: 27586463
Low phosphorus in cows reduced Na+/K+âATPase activity, implicating disturbed K handling and muscle cell function (animal data).
Digestive support (24)
- Effect of saline 0.9% or Plasma-Lyte 148 therapy on feeding intolerance in patients receiving nasogastric enteral nutrition
PubMed ID: 27604334
PlasmaâLyte (contains K+) reduced high gastric residual volumes vs saline, indicating improved enteral feeding tolerance though effect not attributable to K+ alone.
- Randomised clinical trial: safety, tolerability, pharmacokinetics and pharmacodynamics of repeated doses of TAK-438 (vonoprazan), a novel potassium-competitive acid blocker, in healthy male subjects
PubMed ID: 25707624
Vonoprazan is a potassiumâcompetitive acid blocker that provides strong gastric acid suppression (directly relevant to digestion though not dietary K).
- Comparison of a new sulfate-free polyethylene glycol electrolyte lavage solution versus a standard solution for colonoscopy cleansing
PubMed ID: 2365214
PEG bowel prep caused a measurable drop in serum K (â0.22 mEq/L) so this study links bowel-cleansing regimens to potassium loss relevant to digestive prep effects.
- [Bowel cleansing prior to colonoscopy. A prospective, randomized, blind comparative study]
PubMed ID: 2233588
Oral lavage bowel prep produced a small serum K fall (~â0.32 mmol/L), directly relevant to digestion-related fluid/electrolyte changes.
- A randomized controlled double blinded trial to evaluate efficacy of oral administration of black strap molasses (sugarcane extract) in comparison with polyethylene glycol on pediatric functional constipation
PubMed ID: 30946967
Blackâstrap molasses (rich in potassium) was as effective as PEG for pediatric constipationâdirect digestion benefit though not isolated to potassium.
- A randomized, controlled trial of oral sulfate solution versus polyethylene glycol for bowel preparation for colonoscopy
PubMed ID: 40269724
Oral sulfate solution (contains potassium sulfate) produced superior bowel cleansing vs PEG â direct improvement in digestive tract preparation suggesting a digestion/colon cleansing benefit from a potassiumâcontaining formulation (potassium not necessarily the active moiety but present in the clinical product).
- Management of Lithuanian children's acute diarrhoea with Gastrolit solution and dioctahedral smectite
PubMed ID: 11943957
Smecta+ORS shortened diarrhoea while serum K remained stableâclinical improvement in digestive symptom with ORS context.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Rice-based ORS increased fluid and potassium absorption and reduced stool output in infants, directly improving intestinal absorption/digestive outcomes.
- Thermophilic amylase-digested rice-electrolyte solution in the treatment of acute diarrhea in children
PubMed ID: 7530834
Rice-based ORS containing KCl shortened diarrhea and reduced ORS volume needs vs standard ORS (direct clinical benefit for bowel function where potassium was a component).
- A randomized, comparative trial of a potassium-competitive acid blocker (AZD0865) and esomeprazole for the treatment of patients with nonerosive reflux disease
PubMed ID: 18184117
Trial of a potassium-competitive acid blocker (AZD0865) directly targets gastric acid suppression (digestion-related), though it did not improve clinical heartburn outcomes.
- Rice solution and World Health Organization solution by gastric infusion for high stool output diarrhea
PubMed ID: 1858732
Rice-based rehydration solution reduced stool output and sped rehydration in children with high-output diarrhea (improves digestive/rehydration outcomes).
- Comparative efficacy of rice-based and glucose-based oral rehydration salts plus early reintroduction of food
PubMed ID: 8103876
Glucose-based ORS (contains K+) reduced stool volume and duration of diarrhoea vs rice ORS, supporting rehydration and diarrhoeal recovery.
- Impact of a social franchising program on uptake of oral rehydration solution plus zinc for childhood diarrhea in myanmar: a community-level randomized controlled trial
PubMed ID: 24401752
Increased ORS+zinc uptake for childhood diarrhea â ORS replaces electrolytes including potassium, directly relevant to supporting diarrheal management and digestion-related fluid/electrolyte needs.
- Impact of a Potassium-enriched, Chloride-depleted 5% Glucose Solution on Gastrointestinal Function after Major Abdominopelvic Surgery: Results of a Randomized Controlled Trial
PubMed ID: 27416541
Perioperative potassiumâenriched, chlorideâdepleted glucose reduced time to return of normal GI function and reduced need for K+ supplementation.
- A multi-centre, randomised trial to assess whether increased dietary fibre intake (using a fibre supplement or high-fibre foods) produces healthy bowel performance and reduces laxative requirement in free living patients on peritoneal dialysis
PubMed ID: 24650128
Direct improvement in bowel habits and reduced laxative requirements in PD patients.
- Efficacy and Safety of Keverprazan-Amoxicillin Dual Regimen in Initial Eradication of Helicobacter pylori Infection: A Multicenter, Randomized Controlled Trial
PubMed ID: 41645038
Keverprazan (another potassiumâcompetitive acid blocker) was noninferior for H. pylori eradicationârelevant to acid control and digestion.
- Tegoprazan-Based Triple Therapy for Helicobacter pylori Eradication: A Phase III Multicenter Randomized Clinical Trial
PubMed ID: 41531249
Tegoprazan is a potassiumâcompetitive acid blocker used for H. pylori eradicationâdirectly relevant to gastric acid suppression/digestion.
- A prospective randomized trial of a potassium competitive acid blocker vs proton pump inhibitors on the effect of ulcer healing after endoscopic submucosal dissection of gastric neoplasia
PubMed ID: 30816056
Trial comparing vonoprazan (a K-competitive acid blocker) vs PPI for ulcer healingâmechanistic relevance to acid control/digestion.
- Randomised clinical trial: safety, tolerability, pharmacokinetics, and pharmacodynamics of single and multiple oral doses of tegoprazan (CJ-12420), a novel potassium-competitive acid blocker, in healthy male subjects
PubMed ID: 31437865
Tegoprazan is a potassium-competitive acid blocker producing rapid, dose-dependent gastric acid suppressionâdirectly relevant to digestion/gastric acid control.
- Effect of vonoprazan on the treatment of artificial gastric ulcers after endoscopic submucosal dissection: Prospective randomized controlled trial
PubMed ID: 28267236
Vonoprazan is a potassiumâcompetitive acid blocker and improved gastric ulcer healingâmechanistic link to potassium binding and digestion/acid control.
- Significance of serum potassium level monitoring during the course of post-operative rehabilitation in patients with hypokalemia
PubMed ID: 24202399
Active correction of perioperative hypokalemia led to faster return of bowel sounds, earlier defecation and faster recovery after laparotomy.
- Potassium sorbate reduces gastric colonization in patients receiving mechanical ventilation
PubMed ID: 16253799
Potassium sorbate acidified feeds and markedly reduced highâdensity gastric bacterial colonization (antimicrobial effect relevant to gut/enteral nutrition).
- Double blind, randomised controlled clinical trial of hypo-osmolar oral rehydration salt solution in dehydrating acute diarrhoea in severely malnourished (marasmic) children
PubMed ID: 11207173
Hypo-osmolar ORS (contains K+) markedly reduced stool output and diarrhea durationâdirect digestive benefit from a K+-containing rehydration solution.
- Reduced osmolarity oral rehydration salt in Cholera
PubMed ID: 9122640
ORS containing K+ reduced stool output and IV needs in severe diarrhoeaâdirect digestive/rehydration benefit.
Bone health (25)
- Short-Term Supplemental Dietary Potassium from Potato and Potassium Gluconate: Effect on Calcium Retention and Urinary pH in Pre-Hypertensive-to-Hypertensive Adults
PubMed ID: 34959951
Short-term extra potassium reduced urinary calcium and raised urine pHâchanges relevant to calcium economy/bone health.
- Potassium citrate vs. hydrochlorothiazide to reduce urinary calcium excretion in calcium oxalate stone patients with hypercalciuria: a prospective randomized study
PubMed ID: 33904027
Potassium citrate reduced urinary calcium and raised citrate in stone formers; urinary Ca reduction can reflect bone-sparing effects.
- Daily Intake of a Functional Synbiotic Yogurt Increases Calcium Absorption in Young Adult Women
PubMed ID: 35411924
Synbiotic yogurt increased calcium absorption in many young women and responders tended to report higher potassium intake â a suggestive association between higher K intake and bone mineral handling.
- POTASSIUM CITRATE DECREASES BONE RESORPTION IN POSTMENOPAUSAL WOMEN WITH OSTEOPENIA: A RANDOMIZED, DOUBLE-BLIND CLINICAL TRIAL
PubMed ID: 26401577
Potassium citrate reduced bone resorption markers over 12 months in osteopenic postmenopausal women (biomarker evidence of bone benefit).
- Correction of metabolic acidosis with potassium citrate in renal transplant patients and its effect on bone quality
PubMed ID: 22773591
Oral potassium citrate in renal transplant patients corrected acidosis and preserved bone microarchitecture measures over 12 monthsâdirect bone benefit.
- Increasing alkali supplementation decreases urinary nitrogen excretion when adjusted for same day nitrogen intake
PubMed ID: 28842733
Potassium bicarbonate reduced urinary net acid excretion and favorably affected bone resorption markers (urinary NTX), supporting bone health mechanisms.
- Potassium Magnesium Citrate Is Superior to Potassium Chloride in Reversing Metabolic Side Effects of Chlorthalidone
PubMed ID: 37846572
KMgCit increased urinary citrate and urine pH (alkalinizing effect), a metabolic change consistent with reduced acid load and potential bone benefit.
- Can lemon juice be an alternative to potassium citrate in the treatment of urinary calcium stones in patients with hypocitraturia? A prospective randomized study
PubMed ID: 18946667
Potassium citrate (and lemon juice) reduced urinary calcium in hypocitraturic patientsâreduced calciuria can be favorable for calcium conservation and bone health (indirect evidence).
- Physiological effects of slow release potassium phosphate for absorptive hypercalciuria: a randomized double-blind trial
PubMed ID: 9720517
Potassium phosphate reduced urinary calcium and lowered active vitamin Dâdirectly relevant to calcium/bone balance.
- Comparative effects of potassium chloride and bicarbonate on thiazide-induced reduction in urinary calcium excretion
PubMed ID: 10916098
KHCO3 reduced urinary calcium and net acid excretionâmechanistically consistent with preserving bone calcium.
- Potassium citrate prevents increased urine calcium excretion and bone resorption induced by a high sodium chloride diet
PubMed ID: 11994333
Potassium citrate prevented saltâinduced urinary calcium loss and blunted increase in a bone resorption marker in postmenopausal womenâdirect bone health support.
- The DASH diet and sodium reduction improve markers of bone turnover and calcium metabolism in adults
PubMed ID: 14519796
DASH diet and sodium reduction lowered bone turnover markers and urinary calcium; DASH is potassium rich (indirect support).
- Long-term persistence of the urine calcium-lowering effect of potassium bicarbonate in postmenopausal women
PubMed ID: 15572425
Longâterm potassium bicarbonate supplementation doseâdependently lowered urinary calcium in postmenopausal womenâbeneficial for bone mineral conservation.
- Dietary acid-base balance, bone resorption, and calcium excretion
PubMed ID: 16766781
Dietâinduced increases in renal acid excretion (often from low potassium intake) associated with higher PTH and bone resorptionâindirect evidence linking potassium/acid load to bone.
- Partial neutralization of the acidogenic Western diet with potassium citrate increases bone mass in postmenopausal women with osteopenia
PubMed ID: 17035614
Large randomized trial: potassium citrate vs KCl increased BMD at spine, neck and hip and reduced urinary calciumâstrong direct bone benefit.
- The effects of a low-sodium base-producing diet including red meat compared with a high-carbohydrate, low-fat diet on bone turnover markers in women aged 45-75 years
PubMed ID: 19445819
Lowerâsodium, base-producing DASH diet reduced urinary calcium and tended to raise K excretionâfavorable for bone calcium balance.
- Nutritional factors that influence change in bone density and stress fracture risk among young female cross-country runners
PubMed ID: 20709302
Observational study in runners: higher dairy and potassium intake associated with greater BMD and fewer stress fractures (associative evidence).
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
K bicarbonate reduced urinary calcium and plasma CTX (bone turnover) versus placebo; supports bone health.
- Effect of potassium citrate on bone density, microarchitecture, and fracture risk in healthy older adults without osteoporosis: a randomized controlled trial
PubMed ID: 23162100
Large RCT: potassium citrate over 24 months increased lumbar spine aBMD and trabecular density and lowered predicted fracture risk â strong direct evidence.
- Potassium citrate supplementation results in sustained improvement in calcium balance in older men and women
PubMed ID: 22991267
Randomized calcium-balance trial: potassium citrate dose-dependently reduced urinary calcium and improved net calcium balance â mechanistic support for bone effects.
- Potassium Bicarbonate Supplementation Lowers Bone Turnover and Calcium Excretion in Older Men and Women: A Randomized Dose-Finding Trial
PubMed ID: 25990255
Randomized trial: potassium bicarbonate reduced bone resorption markers (NTX, P1NP) and urinary calciumâstrong direct evidence for bone benefit.
- Increased intake of selected vegetables, herbs and fruit may reduce bone turnover in post-menopausal women
PubMed ID: 25856221
Vegetable/fruit intervention raised urinary K and decreased urinary calcium and some bone turnover markersâsupports a boneâprotective signal linked to higher K intake (dietary context).
- Association of Urinary Citrate With Acid-Base Status, Bone Resorption, and Calcium Excretion in Older Men and Women
PubMed ID: 29211866
Potassium bicarbonate supplementation raised urine citrate and related to changes in bone-turnover markers in older adultsâsupports acid-base mediation of bone health.
- Potassium Citrate Supplementation Decreases the Biochemical Markers of Bone Loss in a Group of Osteopenic Women: The Results of a Randomized, Double-Blind, Placebo-Controlled Pilot Study
PubMed ID: 30213095
Randomized K-citrate in osteopenic women decreased bone resorption and formation markers (~30% in targeted subgroup) and increased urine citrateâstrong bone evidence.
- A dietary pattern rich in calcium, potassium, and protein is associated with tibia bone mineral content and strength in young adults entering initial military training
PubMed ID: 30615068
Cross-sectional data linked higher dietary potassium with greater tibial BMC/strength in young adultsâassociative bone evidence.
Muscle cramps (16)
- The effects of magnesium sulphate-pretreatment on suxamethonium-induced complications during induction of general endotracheal anaesthesia
PubMed ID: 17876916
Magnesium pretreatment before suxamethonium reduced fasciculation severity and attenuated the potassium rise (~0.3 mmol/L) â reduced muscle hyperactivity relevant to cramp-like activity.
- HARMONIZE Asia: A Phase III Randomized Study to Investigate the Efficacy and Safety of Sodium Zirconium Cyclosilicate in Patients with Hyperkalemia in China
PubMed ID: 39112102
SZC maintained normokalemia in hyperkalaemic patientsânormal K reduces risk of cramps due to electrolyte disturbances.
- DIALIZE China: A Phase IIIb, Randomized, Placebo-Controlled Study to Reduce Predialysis Hyperkalemia With Sodium Zirconium Cyclosilicate in Chinese Patients
PubMed ID: 37385905
In dialysis patients, maintaining predialysis K within target (with SZC) can reduce electrolyteârelated cramping risk (inferred).
- Muscle Cramps Do Not Improve With Correction of Vitamin D Insufficiency
PubMed ID: 29357208
Observational association: women with cramps had significantly lower dietary potassium intakeâstrongest direct link in dataset to cramps.
- [Study on safety and efficacy of concentrated potassium chloride infusions in critically ill patients with hypokalemia]
PubMed ID: 18611341
Direct RCT evidence that KCl replacement corrects hypokalemiaârepletion is a plausible mechanism to reduce cramps when they are K-related.
- Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis
PubMed ID: 10632100
Dichlorphenamide reduced attacks in potassiumâsensitive periodic paralysis â directly relevant to preventing K-related muscle episodes/cramps.
- Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program
PubMed ID: 10818057
Large trial documented diureticâinduced hypokalemia, a recognized cause of muscle cramps; maintaining K is relevant to preventing cramps.
- Treatment of hypertension in the elderly: I. Blood pressure and clinical changes. Results of a Department of Veterans Affairs Cooperative Study
PubMed ID: 2318517
Large trial showed clinically important rates of hypokalemia with highâdose thiazideâhypokalemia is a common cause of muscle cramps, indicating need for K maintenance.
- Hypokalemia During Decongestion With Loop Diuretics and Hydrochlorothiazide, a Post Hoc Analysis of the CLOROTIC Trial
PubMed ID: 40590131
Demonstrates hypokalemia risk with diuretic regimens and recommends K supplementation consideration â directly relevant to preventing Kâdeficit cramps.
- [Comparative effects of captopril and chlorthalidone on glucose tolerance and insulin levels essential hypertensives]
PubMed ID: 9035467
Shows thiazide-induced hypokalemia associated with metabolic derangements; hypokalemia is a known cause of cramps â study supports the clinical relevance of maintaining K.
- Optimizing Recovery in Elderly Patients: Anabolic Benefits of Glucose Supplementation during the Rehydration Period
PubMed ID: 38892539
Glucose rehydration produced intracellular electrolyte shifts (including K+ drops) consistent with refeeding syndrome, a clinical setting where cramps occur and K+ supplementation is needed.
- Diuretics, serum and intracellular electrolyte levels, and ventricular arrhythmias in hypertensive men
PubMed ID: 1735925
Potassium supplementation prevented severe hypokalemia in diuretic-treated hypertensives; hypokalemia is a known cause of muscle cramps, so prevention is relevant.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Oral potassium effectively corrected hypokalemia; repletion is a recognized means to reduce cramps related to low K.
- Shaoyao-Gancao decoction for the treatment of muscle cramps in maintenance hemodialysis: A prospective randomized crossover controlled trial
PubMed ID: 40204247
Herbal decoction significantly reduced muscle-cramp frequency in hemodialysis patients; potassium fell modestly, but cramp outcomes were robust.
- Magnesium repletion and its effect on potassium homeostasis in critically ill adults: results of a double-blind, randomized, controlled trial
PubMed ID: 8565536
Magnesium repletion improved potassium balance and reduced need for K replacement; correcting hypokalemia is relevant to preventing cramps â moderate indirect evidence.
- Randomized Trial to Assess the Safety and Tolerability of Daily Intake of an Allulose Amino Acid-Based Hydration Beverage in Men and Women
PubMed ID: 38892699
Hydration/electrolyte powder containing K could plausibly reduce cramps via electrolyte maintenance; study showed safety/tolerability.
Energy & Fatigue (11)
- Very early administration of glucose-insulin-potassium by emergency medical service for acute coronary syndromes: Biological mechanisms for benefit in the IMMEDIATE Trial
PubMed ID: 27502865
GIK reduced circulating FFAs and infarct size and modifies myocardial metabolic substrate use â supports cellular energy metabolism in acute ischemia.
- Modified Glucose-Insulin-Potassium Regimen Provides Cardioprotection With Improved Tissue Perfusion in Patients Undergoing Cardiopulmonary Bypass Surgery
PubMed ID: 32151220
GIK lowered lactate and improved metabolic parameters perioperatively â supports cellular energy handling.
- Warm blood hyperkalaemic reperfusion ('hot shot') prevents myocardial substrate derangement in patients undergoing coronary artery bypass surgery
PubMed ID: 9663539
Warm hyperkalaemic reperfusion (high-K 'hot shot') preserved myocardial ATP and high-energy metabolites vs cold cardioplegia.
- A clinical comparative study between crystalloid and blood-based St Thomas' hospital cardioplegic solution
PubMed ID: 10077377
Blood-based cardioplegia preserved high-energy phosphates (creatine phosphate) and improved functional recovery.
- Supplementation with Qter(ÂŽ) and Creatine improves functional performance in COPD patients on long term oxygen therapy
PubMed ID: 30170808
CoQ10+creatine improved 6MWD and altered Na/K ratio in COPD patients â functional/energy improvements with associated Na/K balance changes.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Correction of hypokalemia via oral K salts can improve symptoms related to electrolyte deficiency, including fatigue.
- Increased postprandial energy expenditure in obese women after peroral K- and Mg-phosphate
PubMed ID: 7816004
K+/Mgâphosphate added to glucose drink raised postprandial energy expenditure in obese women.
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Higher-volume pre-op isotonic fluid reduced post-op drowsiness (reduced early tiredness/dizziness), supporting symptomatic improvement.
- Effects of magnesium and potassium supplementation on insomnia and sleep hormones in patients with diabetes mellitus
PubMed ID: 39534260
Potassium (with Mg) supplementation markedly improved insomnia severity and reduced morning cortisol â plausible reduction in subjective tiredness/fatigue.
- Clinical, biochemical and histochemical assessment of pretreatment with glucose-insulin-potassium for patients undergoing mitral valve replacement in the third and fourth functional groups of the New York Heart Association
PubMed ID: 10519674
GIK increased myocardial glycogen and improved cardiac output â indicates an energy substrate/functional effect with K+ included.
- [Efficacy of potassium N-acetylaminosuccinate (Cogitum) in the treatment of asthenic syndrome: results of double-blind placebo-controlled trial]
PubMed ID: 37382978
Cogitum produced very large, statistically robust reductions in fatigue scores (FAS) â direct evidence K+-containing compound reduces tiredness.
Workout performance (4)
- Comparative efficacy of rice-based and glucose-based oral rehydration salts plus early reintroduction of food
PubMed ID: 8103876
ORS (with potassium) supports rehydration and electrolyte restoration after fluid loss, relevant to performance and endurance.
- Muscle ion transporters and antioxidative proteins have different adaptive potential in arm than in leg skeletal muscle with exercise training
PubMed ID: 29038365
Training-induced increases in Na+/K+ pump subunits and antioxidant proteins in muscle relate to ion handling and performance adaptations.
- Randomized Trial to Assess the Safety and Tolerability of Daily Intake of an Allulose Amino Acid-Based Hydration Beverage in Men and Women
PubMed ID: 38892699
Hydration product with K supports fluid/electrolyte status relevant to athletic performance (safety data only).
- Supplementation with Qter(ÂŽ) and Creatine improves functional performance in COPD patients on long term oxygen therapy
PubMed ID: 30170808
CoQ10+creatine improved 6MWD in COPD patients and altered Na/K ratio â performance/functional capacity gains with Na/K changes.
Exercise recovery (4)
- Randomized Trial to Assess the Safety and Tolerability of Daily Intake of an Allulose Amino Acid-Based Hydration Beverage in Men and Women
PubMed ID: 38892699
Hydration/electrolyte powder could facilitate recovery via electrolyte repletion; study evidence limited to tolerability/safety.
- [Role of the Swan-Ganz pulmonary artery (PA) catheter in evaluation of hemodynamic changes during myocardial revascularization in patients with low left ventricular function]
PubMed ID: 12587480
GIK improved cardiac output and oxygen metabolism after cardiopulmonary bypassâsupports metabolic recovery in an acute care setting where K was included.
- Potassium-adsorption filter for RBC transfusion: a phase III clinical trial
PubMed ID: 11134566
Improved postâtransfusion RBC increments after K+ removal could support recovery after blood loss/exertion where transfusion is relevant.
- Postrevascularization recovery of fatty acid utilization in ischemic myocardium: a randomized clinical trial of potassium channel opener
PubMed ID: 10958273
Nicorandil during angioplasty accelerated recovery of myocardial fatty acid utilization and LV function â recovery of metabolic function post-insult.
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Being studied right now
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