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However, in rare cases, it has been associated with coronary vasoconstriction. In this case\u2014the first to our knowledge\u2014we have demonstrated that adenosine could be the cause of microvascular coronary spasms, based on the symptoms, ECG, and coronary functional assessments. Additionally, we have linked this case with a transient prolonged QT and mild dilated left ventricle, which was further investigated with a loop recorder and genetic testing revealing variants in the LMNA gene and PRKAG2 gene. 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