Evaluating the efficacy of ubiquinol in heart failure patients: a systematic review and meta-analysis

Future Cardiol. 2024 Mar 11;20(4):221-228. doi: 10.1080/14796678.2024.2352308. Epub 2024 Jun 6.

Abstract

Aim: We aim to analyze past literature to evaluate the efficacy of coenzyme Q10 (CoQ-10) in the population with heart failure (HF). Methods: A systematic literature search was conducted through MEDLINE (via PubMed) and Cochrane Library. The outcomes analyzed were a reduction in HF-related mortality, an improvement in exercise capacity, and the left ventricular ejection fraction (LVEF). Results: Among 16 studies, CoQ-10 significantly reduced HF-related mortality by 40% and improved exercise capacity in patients with HF, but demonstrated no significant difference in LVEF however, the potential of its efficacy on LVEF could not be ruled out. Conclusion: CoQ-10 significantly enhances exercise capacity and reduces HF-related mortality; however, its impact on patients with reduced LVEF requires further investigation.

Keywords: CoQ-10; cardiovascular disorders; coenzyme Q10; heart failure; ubiquinol.

Plain language summary

[Box: see text].

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Exercise Tolerance / drug effects
  • Exercise Tolerance / physiology
  • Heart Failure* / drug therapy
  • Heart Failure* / mortality
  • Heart Failure* / physiopathology
  • Humans
  • Stroke Volume / physiology
  • Treatment Outcome
  • Ubiquinone* / analogs & derivatives
  • Ubiquinone* / pharmacology
  • Ubiquinone* / therapeutic use
  • Ventricular Function, Left / drug effects
  • Ventricular Function, Left / physiology

Substances

  • coenzyme Q10
  • ubiquinol
  • Ubiquinone