 In 1984, Judy published clinical trial results showing that 28 of 34 patients diagnosed with congestive heart failure (NYHA class IV) had responded well to Coenzyme Q10 treatment with improved cardiac hemodynamics and kinetics.In 1985, Judy conducted a successful five-year study in Class IV congestive heart failure patients.In 1986, Judy published the first report of the long-term management of end stage heart failure with Coenzyme Q10.