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Seek urgent medical attention if you notice black stools, blood in vomit, or severe abdominal pain radiating to your back, as these may indicate serious complications requiring immediate assessment

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Although the phagocytotic functions of melanocytes have been observed, the activation of T cells through antigen presented by melanocytes, for instance, should be further verified by investigating the expression of CD86, CD80, or other markers of antigen-presenting cells on the surface of melanocytes

Long-Term Management and Follow-Up Plan: Anticoagulation assessment (CHA2DS2-VASc), optimize heart failure therapy (ACE inhibitor/ARB/ARNI, beta-blocker, MRA, SGLT2 inhibitor), monitor for recurrent AF or toxicity, and arrange regular follow-up