“…Neuronal and muscle excitability, cardiac rhythmicity, vasodilation, insulin secretion, and renal function all require the spatiotemporal release of potassium (K + ) ions from cells and tissues. − During normal physical activity, the concentration of extracellular K + surrounding human muscle nearly triples, rising from 3.5 to 10 mM. , This substantial change in extracellular K + is predicted to be even greater in the transverse tubules, − though current methods do not allow for accurate measurements in these microscopic invaginations. Regulated K + efflux is also essential for the developing pancreas, kidney, and vestibular and cochlear endolymphs. ,, Accordingly, dysregulated exit of cellular K + from tissues has been associated with a multitude disease states from epilepsy, migraine auras, hypokalemic periodic paralysis, and cardiac arrhythmias to neonatal diabetes, hyperkalemia, and congenital deafness .…”