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Ventricular Fibrillation on POCUS - Apical 4 Chamber View A 50-year-old woman with a history of cardiac transplantation had acute cellular rejection of the transplanted heart. TTE was performed. She was receiving venoarterial extracorporeal membrane oxygenation and revealed ventricular fibrillation with preserved atrial contractility, consistent with atrioventricular dissociation. #VFib #Ventricular #Fibrillation #POCUS #echocardiogram #cardiology #clinical #a4c #AV #Dissociation