Wasabi, a woman victim of a lawyer, ends up in the hospital with the "broken heart syndrome"



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A woman in Israel became the first person to get "broken heart syndrome" in foods after confusing a large drop of wasabi with a normal portion of avocado safe.

The woman, over sixty years old, went to the emergency room with chest pain after attending a wedding, report the doctors in BMJ Case Reports 2019. During the At night, she saw what she thought was the lawyer dipping himself on the table and eating it. Unfortunately, as her taste buds confirmed and her chest pain subsequently corroborated, it was actually a "large amount" – the size of her body. a tea spoon. wasabi paste (a "hot" Japanese root vegetable from the same family as mustard and radish).

Five minutes later, she began to feel a sudden pressure in her chest, which radiated in her arms. It lasted several hours, but she decided to stay at the wedding and eventually the pain started to fade. The next day, however, she felt uncomfortable and weak and therefore consulted a doctor.

The doctors ruled out heart failure, but an electrocardiogram showed left ventricular dysfunction. She had a "broken heart syndrome".

"Cardiomyopathy in Takotsubo, also called" broken heart syndrome ", is a left ventricular dysfunction that usually occurs in older women after intense and sudden emotional and physical stress," the authors explain in the case report.

Broken heart syndrome temporarily affects the heart's ability to pump blood into your system, causing symptoms similar to those of a heart attack. This was first documented more than 20 years ago by Japanese researchers. It is usually caused by severe psychological or physical stress and has been identified for the first time in women who have experienced an emotionally traumatic event, such as the death of a spouse, although this has also been documented in people who suffer all kinds of emotional trauma. A 61-year-old Texas woman was diagnosed with the death of her dog in 2017.

His official name also has an unusual meaning. "The left ventricle shows an overall dilation with basal contraction, forming the shape of the narrow-necked jar used in Japan to trap octopus (takotsubo)."

The researchers suggest that it is the first time that the disease is caused by the only consumption of food. Earlier reports had described food-related takotsubo as being caused by anaphylaxis (a severe allergic reaction), not by the food itself.

"To our knowledge, this is the first case of takotsubo cardiomyopathy caused by the consumption of wasabi," said the authors of the study.

The disease is considered relatively benign – although complications such as pulmonary edema and arrhythmias may occur – and that the woman has recovered well after being treated with ACE inhibitors and beta-blockers. blockers. She was released and fully recovered in one month.

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