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Coenzyme Q10 (CoQ10) pour Heart Failure

B Preuves Au moins un essai randomisé le soutient, avec des résultats globalement concordants.

Q-SYMBIO trial (420 patients, 2 years): 43% MACE reduction, 44% CV mortality reduction with 300 mg/day. Multiple meta-analyses support improved exercise tolerance and ejection fraction.

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            B

        

        

            
En conclusion

            
            
Q-SYMBIO trial (420 patients, 2 years): 43% MACE reduction, 44% CV mortality reduction with 300 mg/day. Multiple meta-analyses support improved exercise tolerance and ejection fraction.

            
            
        

    










    

  
Key Study Findings





    

        
        

            

                
                    Review
                
                
                
                
            

            
                Comparison of Coenzyme Q10 (Ubiquinone) and Reduced Coenzyme Q10 (Ubiquinol) as Supplement to Prevent Cardiovascular …
            
            

                
                Dose: None
                
                
                vs: None
                
                
                Outcome: inflammation markers
                
                
                Effet: None
                
                
                None
                
            

            
            
Population: Heart failure in clinical trials but did not distinguish between the o

            
        

        
        

            

                
                    Review
                
                
                
                
            

            
                Depletion and Supplementation of Coenzyme Q10 in Secondary Deficiency Disorders.
            
            

                
                Dose: None
                
                
                vs: None
                
                
                Outcome: None
                
                
                Effet: None
                
                
                None
                
            

            
            
Population: Patients with secondary CoQ10 deficiency

            
        

        
        

            

                
                    Review
                
                
                
                
            

            
                Coenzyme Q10.
            
            

                
                Dose: None
                
                
                vs: None
                
                
                Outcome: None
                
                
                Effet: None
                
                
                None
                
            

            
            
Population: None

            
        

        
        

            

                
                    Review
                
                
                
                
            

            
                Coenzyme Q10 and Utility in Heart Failure: Just Another Supplement?
            
            

                
                Dose: None
                
                
                vs: None
                
                
                Outcome: None
                
                
                Effet: None
                
                
                None
                
            

            
            
Population: Heart failure patients (CoQ10 review)

            
        

        
        

            

                
                    Review
                
                
                
                
            

            
                Coenzyme Q10 and Heart Failure: A State-of-the-Art Review.
            
            

                
                Dose: None
                
                
                vs: None
                
                
                Outcome: None
                
                
                Effet: None
                
                
                None
                
            

            
            
Population: Heart failure patients (CoQ10 review)

            
        

        
        

            

                
                    Randomized Controlled Trial
                
                
                
                52.0 weeks
                
                
                Double-blind
                
            

            
                Coenzyme Q10 in health and disease.
            
            

                
                Dose: 200 mg
                
                
                vs: None
                
                
                Outcome: liver function
                
                
                Effet: or 6
                
                
                None
                
            

            
            
Population: cardiac patients

            
        

        
    







    
    

        
        

            

  
Key Statistics





            


    

        
15

        
Études

    

    

        
1500

        
Participants

    

    

        
            
            ↑
            
        
        
Positive

    

    

        B

        
Note

    




        


        
        
        

            

  
Referenced Papers





            

                
                

                    

                        
                            Comparison of Coenzyme Q10 (Ubiquinone) and Reduced Coenzyme Q10 (Ubiquinol) as Supplement to Prevent Cardiovascular Disease and Reduce Cardiovascular Mortality.
                        
                        
                            
                                Review
                            
                            
                            
                        
                    

                    

                        Current cardiology reports
                        2023
                        
                        8 citations
                        
                    

                

                
                

                    

                        
                            Depletion and Supplementation of Coenzyme Q10 in Secondary Deficiency Disorders.
                        
                        
                            
                                Review
                            
                            
                            
                        
                    

                    

                        Frontiers in bioscience …
                        2022
                        
                        11 citations
                        
                    

                

                
                

                    

                        
                            Coenzyme Q10.
                        
                        
                            
                                Review
                            
                            
                            
                        
                    

                    

                        Methodist DeBakey cardiovascular …
                        2019
                        
                        53 citations
                        
                    

                

                
                

                    

                        
                            Coenzyme Q10 and Heart Failure: A State-of-the-Art Review.
                        
                        
                            
                                Review
                            
                            
                            
                        
                    

                    

                        Circulation. Heart failure
                        2016
                        
                        114 citations
                        
                    

                

                
                

                    

                        
                            Coenzyme Q10 and Utility in Heart Failure: Just Another Supplement?
                        
                        
                            
                                Review
                            
                            
                            
                        
                    

                    

                        Current heart failure …
                        2016
                        
                        18 citations
                        
                    

                

                
                

                    

                        
                            Coenzyme Q10 in health and disease.
                        
                        
                            
                                Review
                            
                            
                            
                        
                    

                    

                        European journal of …
                        1999
                        
                        230 citations
                        
                    

                

                
            

        

        

        
        
        

            

  
Dosage & Usage





            
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units


            
            

                
Posologies couramment utilisées

                

                    
                    

                        
general:

                        
100-200 mg/day

                    

                    
                    

                        
statinsupport:

                        
100-300 mg/day

                    

                    
                    

                        
heartfailuresupport:

                        
100-300 mg/day (ubiquinol form preferred)

                    

                    
                

                
                

                    Limite supérieure : 1,200 mg/day (well-tolerated in clinical trials)
                

                
            

            

            
            

                
Posologies étudiées dans la recherche

                

                    

                        
                            

                                Posologie
                                Durée
                                Effet
                                N
                            

                        
                        
                            
                            

                                None
                                --
                                
                                    
                                    Positive
                                    
                                
                                --
                            

                            
                            

                                None
                                --
                                
                                    
                                    Mixed
                                    
                                
                                --
                            

                            
                            

                                None
                                --
                                
                                    
                                    Mixed
                                    
                                
                                --
                            

                            
                            

                                None
                                --
                                
                                    
                                    Mixed
                                    
                                
                                --
                            

                            
                            

                                None
                                --
                                
                                    
                                    Mixed
                                    
                                
                                --
                            

                            
                            

                                200 mg
                                52.0 weeks
                                
                                    
                                    Neutral
                                    
                                
                                --
                            

                            
                        
                    

                

            

            

            
            

                Moment optimal de prise : With meals containing fat; ubiquinol form has 2-3x better bioavailability than ubiquinone
            

            
        

        

        
        
        

            

  
Safety & Side Effects





            

                
                

                    
Effets indésirables signalés

                    
    
                        
                        
  • 
                            ⚠
                            Mild gastrointestinal discomfort (nausea, diarrhea)
                        
    • 
                        
                        
  • 
                            ⚠
                            Insomnia (rare, if taken late in the day)
                        
    • 
                        
                        
  • 
                            ⚠
                            Headache (rare)
                        
    • 
                        
                        
  • 
                            ⚠
                            May lower blood sugar slightly
                        
    • 
                        
                    

                

                

                
                

                    
Interactions connues

                    
    
                        
                        
  • 
                            ●
                            Warfarin (may reduce anticoagulant efficacy due to structural similarity to vitamin K)
                        
    • 
                        
                        
  • 
                            ●
                            Blood pressure medications (additive hypotensive effect)
                        
    • 
                        
                        
  • 
                            ●
                            Statins (may alleviate statin-associated muscle symptoms)
                        
    • 
                        
                        
  • 
                            ●
                            Insulin and oral hypoglycemics (additive blood sugar lowering)
                        
    • 
                        
                    

                

                

                
                

                    

                        Apport maximal tolérable : 1,200 mg/day (well-tolerated in clinical trials)
                    

                

                
            

            

                Consultez toujours votre professionnel de santé avant de commencer tout complément alimentaire.Consultez toujours votre professionnel de santé avant de commencer tout complément alimentaire.
            

        

        

        
        
        

            

  
Frequently Asked Questions





            




    
    

        
            Does Coenzyme Q10 (CoQ10) help with Heart Failure?
            
        
        

            Based on 15 studies with 1,500 participants, there is moderate evidence from clinical studies that Coenzyme Q10 (CoQ10) may support Heart Failure management. Our evidence grade is B (Good Evidence).
        

    

    
    

        
            How much Coenzyme Q10 (CoQ10) should I take for Heart Failure?
            
        
        

            Studies have used various dosages. A commonly studied range is 100-200 mg/day. Always consult your healthcare provider before starting any supplement regimen.
        

    

    
    

        
            Are there side effects of Coenzyme Q10 (CoQ10)?
            
        
        

            Reported side effects may include Mild gastrointestinal discomfort (nausea, diarrhea), Insomnia (rare, if taken late in the day), Headache (rare), May lower blood sugar slightly. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
        

    

    
    

        
            How strong is the evidence for Coenzyme Q10 (CoQ10) and Heart Failure?
            
        
        

            We rate the evidence as Grade B (Good Evidence). This rating is based on 15 peer-reviewed studies with 1,500 total participants. The overall direction of effect is positive.
        

    

    




        

        

        
        
        

            

  




            

                
                
                

                
                

                    
Coenzyme Q10 (CoQ10) pour d'autres pathologies

                    

                        
                        
                            High Blood Pressure (Hypertension)
                            B

                        
                        
                        
                            Cardiac Arrhythmia
                            C

                        
                        
                    

                

                
            

        

        

    


    
    






  
References

  
    
    
    
  1. 
      [1]
      Johannes-Paul Fladerer et al..
      Curr Cardiol Rep.
      2023.
      Comparison of Coenzyme Q10 (Ubiquinone) and Reduced Coenzyme Q10 (Ubiquinol) as Supplement to Prevent Cardiovascular Disease and Reduce Cardiovascular Mortality.
      doi:10.1007/s11886-023-01992-6
      PubMed
    
    2. 
    
    
  2. 
      [2]
      David Mantle et al..
      Front Biosci (Landmark Ed).
      2022.
      Depletion and Supplementation of Coenzyme Q10 in Secondary Deficiency Disorders.
      doi:10.31083/j.fbl2712322
      PubMed
    
    3. 
    
    
  3. 
      [3]
      Albert E Raizner.
      Methodist Debakey Cardiovasc J.
      2019.
      Coenzyme Q10.
      doi:10.14797/mdcj-15-3-185
      PubMed
    
    4. 
    
    
  4. 
      [4]
      Abhinav Sharma et al..
      Circ Heart Fail.
      2016.
      Coenzyme Q10 and Heart Failure: A State-of-the-Art Review.
      doi:10.1161/CIRCHEARTFAILURE.115.002639
      PubMed
    
    5. 
    
    
  5. 
      [5]
      Sylvia Oleck et al..
      Curr Heart Fail Rep.
      2016.
      Coenzyme Q10 and Utility in Heart Failure: Just Another Supplement?
      doi:10.1007/s11897-016-0296-6
      PubMed
    
    6. 
    
    
  6. 
      [6]
      K Overvad et al..
      Eur J Clin Nutr.
      1999.
      Coenzyme Q10 in health and disease.
      doi:10.1038/sj.ejcn.1600880
      PubMed
    
    7. 
    
  















    

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