Takotsubo cardiomyopathy triggered by wasabi consumption: can sushi break your heart?

BMJ Case Rep. 2019 Sep 20;12(9):e230065. doi: 10.1136/bcr-2019-230065.

Abstract

Takotsubo cardiomyopathy is a left ventricular dysfunction that typically occurs after sudden intense emotional or physical stress and mimics myocardial infarction. We describe a case of a 60-year-old woman that presented to the emergency department with chest pain after she attended a wedding and ate a large amount of wasabi, assuming it to be an avocado. To the best of our knowledge, this is the first report of takotsubo cardiomyopathy triggered by wasabi consumption.

Keywords: cardiovascular medicine; interventional cardiology.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use*
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Chest Pain / chemically induced*
  • Chest Pain / diagnostic imaging
  • Coronary Angiography
  • Echocardiography
  • Female
  • Humans
  • Middle Aged
  • Mineralocorticoid Receptor Antagonists / therapeutic use*
  • Precipitating Factors
  • Takotsubo Cardiomyopathy / chemically induced*
  • Takotsubo Cardiomyopathy / diagnostic imaging
  • Takotsubo Cardiomyopathy / drug therapy
  • Takotsubo Cardiomyopathy / physiopathology
  • Treatment Outcome
  • Wasabia / adverse effects*
  • Wasabia / chemistry

Substances

  • Adrenergic beta-Antagonists
  • Angiotensin-Converting Enzyme Inhibitors
  • Mineralocorticoid Receptor Antagonists