In a message dated 8/30/00 12:01:31 PM Central Daylight Time, 
[email protected] writes:

<< I just wrote a post further down this list on co-Q10, to I think John, let 
me
 know if you see it or not.
  >>

A little research turned up the following also.  Thanks for the link on 
Coenzyme q10.

Coenzyme Q10: a vital therapeutic nutrient for the heart with special 
application in congestive heart failure. 
Sinatra ST 
Manchester Hospital. 
Conn Med (United States) Nov 1997, 61 (11) p707-11 

Vitamin coenzyme Q10 is a critical adjuvant complementary therapy for 
patients with congestive heart failure, especially when traditional medical 
therapy is unsuccessful. The following case studies, with systolic and/or 
diastolic dysfunction, demonstrate the effectiveness of coenzyme Q10 in 
improving quality of life, as well as survival. 

Refractory congestive heart failure successfully managed with high dose 
coenzyme Q10 administration. 
Sinatra ST 
Manchester Hospital, CT, USA. 
Mol Aspects Med (England) 1997, 18 Suppl pS299-305 

Coenzyme Q10 (CoQ10) is a critical adjuvant therapy for patients with 
congestive heart failure (CHF), even when traditional medical therapy is 
successful. Adjunctive therapy with Q10 may allow for a reduction of other 
pharmacological therapies, improvement in quality of life, and a decrease in 
the incidence of cardiac complications in congestive heart failure. However, 
dosing, clinical application, bioavailability and dissolution of CoQ10 
deserve careful scrutiny whenever employing the nutrient. The assessment of 
blood levels in 'therapeutic failures' appears warranted. 

Treatment of congestive heart failure with coenzyme Q10 illuminated by 
meta-analyses of clinical trials. 
Soja AM; Mortensen SA 
Department of Medicine, County Hospital Sct. Elisabeth, Copenhagen, Denmark. 
Mol Aspects Med (England) 1997, 18 Suppl pS159-68 

The purpose of this was to investigate the effect of coenzyme Q10 (CoQ10) in 
patients with congestive heart failure (CHF) by measuring the possible 
improvement of certain relevant hemodynamic heart parameters. A statistic 
aggregation method know as a meta-analysis was used to measure the changes in 
the cardiac parameters. To begin with we collected the total number of 
randomized controlled trials and from a total of 14 studies published in the 
period of 1984-1994, eight studies met our inclusion criteria. The rest were 
excluded because of a lack of data which made a meta-analysis impossible. The 
relevant effect parameters investigated were stroke volume (SV), cardiac 
output (CO), ejection fraction (EF), cardiac index (CI), end diastolic volume 
index (EDVI), systolic time intervals (PEP/LVET) and total work capacity 
(Wmax). Seven meta-analyses were performed, one for each of the parameters, 
and the calculated effect sizes were all positive. Statistical significance 
could be demonstrated for all of the parameters except the PEP/LVET and Wmax 
thereby indicating an improvement of greater or lesser magnitude in the CoQ10 
group as opposed to the placebo group. Accordingly, the average patient in 
the CoQ10 group had a better score with regard to SV and CO than 76 and 73% 
respectively of the patients in the placebo group. In conclusion, 
supplemental treatment of CHF with CoQ10 is consistent with an improvement of 
SV, EF, CO, CI and EDVI. Homogeneity could be established for SV and CO. 
Additional clinical trials of the effect of CoQ10 on CHF are necessary, but, 
on the basis of the evidence currently available, the possibility remains 
that CoQ10 will receive a well-documented role as an adjunctive treatment of 
CHF. 






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