From the Super Mario Wiki, the Mario encyclopedia
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In Dance Dance Revolution: Mario Mix, as the name implies, the item resembles a large heart in a container. It can be bought at any shop run by a Lakitu in the Story Mode of the game for 170 coins. Up to three Big Hearts can be carried at a time. If Mario or Luigi have one in their possession and use it before a dance, the dance meter completely fills up once it is empty. Even if the Big Heart is not necessary, it still disappears from the item inventory.
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