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Updated: Apr 18, 2026

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Published on: November 11, 2022
Intractable hyperkalemia due to nicorandil induced potassium channel syndrome
1Department of Cardiac Anaesthesiology, Care Hospital, Bhubaneswar, Odisha, India.
Abstract:
Nicorandil is a commonly used antianginal agent, which has both nitrate-like and ATP-sensitive potassium (K ATP ) channel activator properties. Activation of potassium channels by nicorandil causes expulsion of potassium ions into the extracellular space leading to membrane hyperpolarization, closure of voltage-gated calcium channels and finally vasodilatation. However, on the other hand, being an activator of K ATP channel, it can expel K + ions out of the cells and can cause hyperkalemia. Here, we report a case of nicorandil induced hyperkalemia unresponsive to medical treatment in a patient with diabetic nephropathy.
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