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In patients presenting with Addisonian crises and refractory shock, the possibility of concurrent TTS should be considered. TTS muddies the diagnostic waters and poses therapeutic challenges as outlined.<\/jats:p>","DOI":"10.1136\/bcr-2020-238189","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:07:00Z","timestamp":1611839220000},"page":"e238189","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Typical and reverse Takotsubo syndromes as initial manifestations of consecutive Addisonian crises in a 38-year-old patient: the heart has its reasons!"],"prefix":"10.1136","volume":"14","author":[{"given":"Melissa","family":"Tso","sequence":"first","affiliation":[{"name":"Department of Medicine, Royal University Hospital, Saskatoon, Saskatchewan, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shravan","family":"Nosib","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Royal University Hospital, Saskatoon, Saskatchewan, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"unstructured":"Genetic and Rare Diseases Information Center (GARD) \u2013 an NCATS Program . 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