Potassium: Regulator of Heart Contractions
Potassium (K)
The body maintains a constant level of potassium, with a daily requirement of 2–5 g.
The daily recommended intake of potassium for athletes and those engaged in heavy labor is 2.5–5 g.
The bioavailability of potassium in the body is 90–95%.
The total potassium content in the body ranges from 160 to 250 g (about 0.23% of total body weight). In blood plasma, potassium levels are 15–20 mg%, while in erythrocytes, it is 450–480 mg%. Potassium is the main intracellular cation. Its concentration in cells is 30 times higher than that outside the cells. Potassium is primarily excreted by the kidneys, which is associated with its diuretic effect.
Disruption of the potassium-sodium balance leads to disturbances in water metabolism, dehydration, and muscle weakness.
It is believed that potassium has a protective effect against the undesirable influence of excess sodium and also normalizes blood pressure. For this reason, in some countries, it has been proposed to produce table salt with the addition of potassium chloride. However, an excess of potassium relative to sodium can also cause disturbances in the cardiovascular system.
The main biological function of potassium is the formation of the transmembrane potential and the propagation of potential changes across the cell membrane by exchanging with sodium ions according to the concentration gradient. Together with sodium and chlorine, potassium is a constant component of all cells and tissues. In the body, these elements are present in a specific ratio and ensure the constancy of the internal environment. In the form of the cation K+, potassium participates in maintaining homeostasis (ionic balance, osmotic pressure in the body fluids). Potassium and sodium chlorides, being strong electrolytes, participate in the generation and conduction of electrical impulses in nerve and muscle tissues. Thus, potassium is involved in maintaining the electrical activity of the brain, the functioning of nervous tissue, and the contraction of skeletal and cardiac muscles. Potassium regulates the activity of such important enzymes as K+-ATPase, acetylcholinase, and pyruvate kinase.
The therapeutic significance of potassium is related to its irritating effect on mucous membranes, with an increase in the tone of smooth muscles (intestines, uterus), which is why its compounds are used as laxatives. Potassium causes the dilation of blood vessels in internal organs and constriction of peripheral vessels, which promotes increased urination. It slows down the heart rate and, acting similarly to the vagus nerve, participates in regulating heart activity.
Potassium carbonate was widely used for the treatment of many diseases by the founder of homeopathy H.F.S. Hahnemann (1755-1843). Modern homeopaths consider it necessary to use this salt in diseases of the cardiovascular system, respiratory tract (laryngotracheitis, bronchitis with severe morning cough, congestive bronchopneumonia with severe cough and poorly expectorated phlegm). This preparation is used to treat gastrointestinal diseases (gastritis with sour belching, aversion to food, nausea, craving for sweets, pressure and pain in the epigastric region), as well as constipation, flatulence, and hemorrhoids with lumps, bleeding diseases of muscles and joints – with pain in the arms, from the shoulder to the fingers, in the hip and knee joints, and soles.
Excessive consumption of coffee, sugar, alcohol; corticosteroid medications, laxatives, colchicine, as well as stress hinder potassium absorption, while vitamin B6, sodium, neomycin facilitate this process.
Some diuretics, phenolphthalein enhance the excretion of potassium by the kidneys.
Sodium, cesium, rubidium, thallium have antagonistic properties concerning potassium and can displace it from tissues.
In the case of a deficiency of sodium and potassium in the diet, the content of lithium in the body increases.
Signs of potassium deficiency: increased skin dryness, acne, frequent colds, deterioration of mental activity, nervousness, insomnia, decreased reflex function, depression, constipation, diarrhea, edema, unbearable thirst, glucose intolerance, stunted growth, increased cholesterol levels, low blood pressure, muscle fatigue and weakness, nausea and vomiting, periodic headaches.
A constant excess of potassium and sodium causes a slight increase in insulin levels in the blood. Other hormonal disturbances are also noted.
The main manifestations of potassium excess: increased excitability, irritability, anxiety, sweating; weakness and paresis of muscles, degenerative neuromuscular disorders; neurocirculatory dystonia; arrhythmias, weakening of the contractile ability of the heart muscle; paralysis of skeletal muscles; intestinal colic; frequent urination; predisposition to the development of diabetes mellitus.