Alejandro González Veliz: Why Secondary Prevention Matters After PCI
Alejandro González Veliz, Interventional Cardiologist at Institute of Cardiology and Cardiovascular Surgery, shared a post on LinkedIn:
“A stent can open a blocked coronary artery.
But it does not cure atherosclerosis.
PCI is designed to treat a focal obstructive lesion — restoring lumen diameter and improving blood flow.
But the underlying atherosclerotic process can continue in the treated segment and, importantly, in other parts of the coronary tree.
That is why a successful PCI is only one part of the treatment.
Long-term management remains essential:
- Intensive LDL-C lowering
- Blood pressure control
- Diabetes management
- Smoking cessation
- Regular physical activity
- Evidence-based medical therapy
- Long-term cardiovascular risk reduction
The goal after PCI is not simply to keep the stent open.
The goal is to prevent the next cardiovascular event.
Treat the lesion.
Treat the patient.
Treat the disease.”

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