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A woman accidentally mistook wasabi for avocado, and ate so much she triggered a heart dysfunction.

According to a case report published by researchers at the Soroka University Medical Center in Beer Sheva, Israel, the 60-year-old woman was at a wedding when she began eating wasabi, the green-coloured paste which produces a spicy reaction in the nose.

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She thought the wasabi was avocado, the very-much-not-spicy similarly green fruit.

The report says that after eating the substance, she began to feel a pressure building in her chest, which spread to her arms. It lasted a few hours, then began to subside. She decided not to leave the wedding.

But she continued to feel symptoms the next day, which prompted her to see a doctor. They diagnosed her with takotsubo cardiomyopathy, a rare heart dysfunction that weakens the heart’s musculature in the left ventricle.

This is the first report of takotsubo cardiomyopathy triggered by wasabi consumption

Named after the similar shapes of the heart cavity during the illness and a Japanese octopus trapping jar, the dysfunction isn’t usually fatal — most make a full recovery — but can be a precursor for more serious heart problems.