What Nsgarch said. And if it WILL work with 60Hz, the stepdown device has a good chance of improving the sound. A simple transformer is best (with no extra conditioning or regulation). Make sure it has some overcapacity so there is no chance of core saturation. In the case of a power amp, three or four times overcapacity is good, less for a preamp or CDP.
A friend of my teenage son's was over last night. I had just bought another transformer and he wanted to know why, so we did a demo with and without my current device.
It had been a while since I myself had done a comparison. We listened to 7 minutes of the Mork/Brown Haydn cello concerto #1 on Virgin, first without, then with my isolation transformer. For the young man, an audio neophyte, there was an enormous difference in soundstage, timbre, detail. For me too!