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Effect of Coenzyme Q10 on the Incidence of Atrial Fibrillation in Patients With Heart Failure
  1. Qingyan Zhao, MD, PhD*,
  2. A. Hafid Kebbati, MD, PhD*,
  3. Yuguo Zhang, MBchB,
  4. Yanhong Tang, MD, PhD*,
  5. Emmy Okello, MBChB*,
  6. Congxin Huang, MD, PhD*
  1. From the Departments of *Cardiology and †Ultrasonography, Renmin Hospital of Wuhan University, Wuchang, Wuhan, People’s Republic of China.
  1. Received July 16, 2014, and in revised form March 16, 2015.
  2. Accepted for publication March 24, 2015.
  3. Reprints: Congxin Huang, MD, PhD, Cardiovascular Research Institute of Wuhan Unviersity, Renmin Hospital of Wuhan University, 238Jiefang Rd, Wuchang, Wuhan City, 430060, People’s Republic of China. E-mail: huangcongxin{at}
  4. The authors have no conflicts of interest to disclose.
  5. Disclosures: None
  6. Q.Z. and A.H.K. are co–first authors.


Background There is mounting evidence to support the influence of inflammation and oxidative stress in the pathogenesis of atrial fibrillation (AF) and heart failure (HF). The efficacy of coenzymeQ10 (CoQ10), an antioxidant used as an adjunct treatment in patients with AF and HF, remains less well established.

Methods Consecutive patients with HF were randomized and divided into 2 groups: the CoQ10 group (combined administration of common drugs and CoQ10) and the control group (administration of common drugs). Ambulatory electrocardiogram Holter monitoring (24 hours), Doppler echocardiography, and evaluation of inflammatory cytokines were performed before treatment and 6 and 12 months after treatment.

Results One hundred two patients (72 male and 30 female patients), with ages ranging from 45 to 82 years (mean age, 62.3 years), were examined. There was significant reduction in the level of malondialdehyde (3.9 ± 0.7 vs 2.5 ± 0.6 ng/mL; 3.9 ± 0.7 vs 2.3 ± 0.5 ng/mL, P < 0.05) in the CoQ10 group, whereas there was no significant difference (3.3 ± 0.8 vs 2.9 ± 0.8 ng/mL; 3.3 ± 0.8 vs 2.9 ± 0.5 ng/mL) in the control group after 6 and 12 months. Three patients (6.3%) in the CoQ10 group and 12 patients (22.2%) in the control group had episodes of AF after 12 months’ treatment (P = 0.02). Four patients with AF in the control group went through the third Holter recording.

Conclusions CoenzymeQ10 as adjuvant treatment in patients with HF may attenuate the incidence of AF. The mechanisms of the effect perhaps have relation with the reduced levels of malondialdehyde.

Key Words
  • atrial fibrillation
  • coenzymeq10
  • heart failure
  • oxidative stress

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