Coenzyme Q10 (CoQ10) 用于 心力衰竭
B 证据 至少一项随机试验支持这一结论,结果基本一致。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.
结论
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
研究人群: Heart failure in clinical trials but did not distinguish between the o
研究人群: Patients with secondary CoQ10 deficiency
研究人群: Heart failure patients (CoQ10 review)
研究人群: Heart failure patients (CoQ10 review)
研究人群: cardiac patients
Key Statistics
15
研究数量
1500
受试者
Positive
等级
Referenced Papers
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
常用剂量
- general:
- 100-200 mg/day
- statinsupport:
- 100-300 mg/day
- heartfailuresupport:
- 100-300 mg/day (ubiquinol form preferred)
上限: 1,200 mg/day (well-tolerated in clinical trials)
研究中使用的剂量
| 剂量 | 持续时间 | 效果 | N |
|---|---|---|---|
| None | -- | Positive | -- |
| None | -- | Mixed | -- |
| None | -- | Mixed | -- |
| None | -- | Mixed | -- |
| None | -- | Mixed | -- |
| 200 mg | 52.0 weeks | Neutral | -- |
最佳服用时间: With meals containing fat; ubiquinol form has 2-3x better bioavailability than ubiquinone
Safety & Side Effects
已报告的副作用
- ⚠ Mild gastrointestinal discomfort (nausea, diarrhea)
- ⚠ Insomnia (rare, if taken late in the day)
- ⚠ Headache (rare)
- ⚠ May lower blood sugar slightly
已知相互作用
- ● 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)
可耐受最高摄入量: 1,200 mg/day (well-tolerated in clinical trials)
在开始服用任何补充剂之前,请务必咨询您的医疗保健提供者。
Frequently Asked Questions
Does Coenzyme Q10 (CoQ10) help with 心力衰竭?
How much Coenzyme Q10 (CoQ10) should I take for 心力衰竭?
Are there side effects of Coenzyme Q10 (CoQ10)?
How strong is the evidence for Coenzyme Q10 (CoQ10) and 心力衰竭?
Related Evidence
其他成分用于 心力衰竭
References
- [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] 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] Albert E Raizner. Methodist Debakey Cardiovasc J. 2019. Coenzyme Q10. doi:10.14797/mdcj-15-3-185 PubMed
- [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] 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] K Overvad et al.. Eur J Clin Nutr. 1999. Coenzyme Q10 in health and disease. doi:10.1038/sj.ejcn.1600880 PubMed
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