“…Negative inotropic effects (Reiter et al, 1971), presumably related to Na'-pump activation and alterations of the action potential, and transient increases of contraction (Kavaler et al, 1972), however, indicate the diversity of K+ actions. The reversal from a negative to a positive inotropic effect of K+ after reduction of extracellular Na+ in guinea-pig papillary muscle (Ebner & Siegl, 1986) and the role of K+ in the inotropic response to intracellular Na+ (Ebner et al, 1986) could suggest a control of the contraction by the resting membrane potential via Na'-Ca2+ exchange in a way which resembles the effect of high K+ concentrations in frog atrial trabeculae on the Na' withdrawal contracture (Chapman & Tunstall, 1980) or the Na'-dependence of the K+-induced contracture (Chapman & Tunstall, 1981). The influence of high K+ concentrations on Ca2+ fluxes (Busselen, 1982) or intracellular Ca2+ ) is in line with the contracture experiments.…”