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There was significant increase in LAA PW Doppler velocities (LAAEDE, LAALDE and LAAF velocity) immediately Post PTMC which got further improved significantly at 6 months of follow up. There was significant increase in LAA DTI velocities (E , A and S velocity) immediately Post PTMC which got further improved significantly at 6 months of follow up. PTMC improves left atrial appendage function in patients with mitral stenosis. PTMC improves left atrial appendage function in patients with mitral stenosis. The MADIT II investigators had concluded that prophylact