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The Lancet reported that in patients with confirmed, symptomatic coronary artery disease, vitamin E (400-800 IU per day) diminished the rate of subsequent fatal and/or nonfatal myocardial infarction by 45% throughout a follow-up of 510 days in a research of 2,002 patients. The Coronary Artery Surgery Study (CASS) demonstrated that patients who otherwise had healthy hearts but had one to 3 of the major vessels blocked, no matter severity, did nicely without surgical procedure with a fatality price of 1.6 percent a year. Other elements include smoking, obesity, heredity, sedentary life-style, and stress.There are approximately 800,000 bypass and angioplasty surgeries performed every year. When referring to CoQ10 during an interview with ABC News, cardiologist Dr. Peter Langsjoen claimed, "It would not even examine to the rest. Its effects are so clear. They are not delicate. They are dramatic . . . The most obvious factor a person would notice would be improved stamina, vigor." Professor Lester Packer on the University of California, Berkeley, stated, "Other degenerative diseases like Alzheimer's, Parkinson's, Huntington's disease even have defects in vitality manufacturing. So Coenzyme Q10 could be important." Dr. Andrew Weil claims it improves the use of oxygen on the cellular stage and recommends 60-200 mg a day.