Extracellular [K+] up -> arrhythmia
(Extracellular [K+] down -> arrhythmia)
This principle is used for Execution in Texas. How do you stop the heart to terminate a person's life because of death penalty? Injection of K+. That causes a severe arrhythmia, and even stops your heart and thus your life. That is why K+ is so dangerous to your heart. (I like this kind of trivia/application, even though it is not a pleasant one.)
Does [Na+] have the same effect of arrhythmia? No. Because It does not effect the resting membrane potentials, since there is no conductance of Na+ practically(all channels are closed at rest).
K+ is, on the contrary, leaky(there is conductance) due to non-gated K+ channels. That is why resting membrane potential is disturbed when EC [K+] is changed. eg. EC[K+] ++++ (by injection for instance)-> even K+ influx occurs(K+ eflux usually happens due to high K+ concentration in IC space)-> depolariztion(resting membrane potential disturbance) -> arrythmia
I also love this kind of "how it works". (Physiology)