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The exquisite link between potassium homeostasis regulation and cardiovascular health: exploration and analysis
Ci Wang1,2, Xiangyuan Huang3, Zeyu Zhang4,5
1The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Insights
Maintaining proper potassium levels is crucial for heart health. Imbalances in potassium (K+) can lead to cardiovascular diseases (CVDs) and arrhythmias, highlighting the need for optimized homeostasis.
Area of Science:
- Cardiovascular physiology
- Electrophysiology
- Renal and metabolic regulation
Background:
- Cardiovascular diseases (CVDs) are the leading cause of global mortality.
- Potassium homeostasis is critical for cardiac electrophysiological stability.
- Dysregulation of potassium ions (K+) significantly contributes to cardiac arrhythmias.
Purpose of the Study:
- To review the physiological mechanisms of potassium homeostasis.
- To examine the contribution of potassium imbalance to CVDs, focusing on arrhythmias.
- To highlight therapeutic strategies for optimizing potassium balance in CVD management.
Main Methods:
- Literature review integrating experimental and clinical evidence.
- Analysis of physiological mechanisms of potassium regulation.
- Examination of the link between potassium imbalance and cardiac pathophysiology.
Main Results:
- Potassium homeostasis involves complex systemic regulation (dietary, renal, intestinal, neural, muscular).
- Potassium dysregulation is a key driver of cardiac arrhythmias and other CVDs.
- Understanding these mechanisms offers potential therapeutic targets.
Conclusions:
- Optimizing potassium homeostasis is a promising strategy for CVD prevention and management.
- This review provides a framework for understanding potassium's role in cardiovascular health.
- Further research into therapeutic interventions targeting potassium balance is warranted.
Abstract:
Cardiovascular diseases (CVDs) are the leading global cause of mortality, with potassium homeostasis playing a fundamental role in their pathophysiology. Tightly regulated potassium ions (K+) are essential for cardiac electrophysiological stability, and their dysregulation is a critical driver of disorders, particularly cardiac arrhythmias. Systemic potassium homeostasis is maintained by a complex network involving dietary intake, renal and intestinal handling, neuromodulatory control, skeletal muscle buffering and membrane ion channel activity, et al, which together determine extracellular and intracellular potassium homeostasis. This review summarizes the physiological mechanisms underlying potassium homeostasis and critically examines how potassium imbalance contributes to CVDs, with a primary focus on arrhythmia-related pathophysiology. By integrating experimental and clinical evidence, we highlight clinically relevant mechanisms and potential therapeutic strategies aimed at optimizing potassium homeostasis, thereby providing a conceptual framework to improve CVDs prevention and management.
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