All that being said, in situations where somebody's unable to produce enough aldosterone, or hypoaldosteronism or adrenal insufficiency, then there's less potassium secretion by the principal cells, and therefore more potassium is retained, leading to hyperkalemia.

也就是说，当人体产生的醛固酮不够时，即出现醛固酮减少症或肾上腺功能不全时，主细胞分泌的钾离子将会减少，因此更多的钾离子留在细胞内，导致高钾血症。