What is the significance of enalapril-induced hyperkalemia?
Hyperkalemia is a significant concern in patients taking enalapril. It occurs due to the decreased excretion of potassium by the kidneys, a direct consequence of reduced aldosterone levels caused by ACE inhibition. Monitoring of serum potassium levels is essential, especially in patients with renal impairment or those taking other medications that increase potassium levels, such as potassium-sparing diuretics or non-steroidal anti-inflammatory drugs (NSAIDs).