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of 40 patients, those who received coenzyme Q-10 had less heart muscle injury with surgery, as well as fewer irregular heart rhythms, dur- ing postoperative recov- ery.(10)  While this isolated study hardly establishes its role in cardiac surgery, it does indicate a potential ben- efit for coenzyme Q-10, and demonstrates the need for additional research. Mitral Valve Prolapse A less studied use for coen- zyme Q-10 includes treating the symptoms associated with mitral valve prolapse, a condition wherein blood flows back into the upper chamber of the heart.  At this point there is insufficient data to draw any meaningful conclu- sions. IS IT FOR ME? Congestive Heart Failure While studies utilizing coenzyme Q-10 in patients with congestive heart fail- ure have not shown an improvement in patient survival, the strength of the heart's contraction or a patient's exercise toler- ance, the only randomized study undertaken found an improvement in quality of life in those patients who received the compound (8).  Therefore, for patients who have congestive heart failure, coenzyme Q-10 may be a useful supple- ment to traditional drug therapy.  ACE inhibitors, digoxin (Lanoxin), beta blockers and diuretics remain the cornerstones of drug treatment for this con- dition and should never be substituted for a supple- ment such as coenzyme Q-10.  Coenzyme Q-10 should serve as a comple- ment to traditional medica- tions. Angina Coenzyme Q-10 may decrease chest pain in patients with coronary artery disease.  It may also improve exercise tolerance in this group of patients. As the available data is quite limited, patients with chest pain should never take coenzyme Q-10 in place of traditional • Congestive heart failure patients had an improved quality of life • Angina patients had a significant increase in exercise capacity • 51% of high blood pressure patients were able to discontin- ue between one and three medications evidence of inadequate blood flow to the heart muscle dur- ing exercise.  The researchers concluded that coenzyme Q-10 was a "safe and promising treatment for angina pectoris."   High Blood Pressure Coenzyme Q-10 may play a role in high blood pressure (hypertension) by decreasing the body's chemical response to a rise in diastolic blood pressure (blood pressure when the heart is relaxed) (3,17).  Several studies have identified a potential benefit for coenzyme Q-10 in the treatment of high blood pres- sure. The largest study - of 109 patients - found that patients taking coenzyme Q- 10 had a substantially reduced need for medications to lower blood pressure.  In fact, 51% of patients were able to discontinue between one and three medications, contributing to a substantial cost savings.  Patients also exhibited a marked improve- ment in their quality of life, with fewer symptomsæpoten- tially related to an improve- ment in cardiac performance - or perhaps due to fewer side effects from medication. Coronary Artery Bypass Surgery It has been suggested that coenzyme Q-10 may be ben- eficial to patients at the time of coronary artery bypass surgery.  In a controlled trial

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