Background: The correlation
between 5-Nucleotidase (5-NT) and the clinical outcomes in coronary
artery disease (CAD) patients following percutaneous coronary intervention (PCI)
is not clear. This study aims to clarify this relationship. Methods: The
PRACTICE study enrolled 15,250 patients between December 2016 and October 2021.
After filtering out those without 5-NT data, a total of 6555 patients were
analyzed with a median follow-up of 24 months. Based on the
receiver operating characteristic (ROC) curve analysis, a 5-NT level of 5.57
U/L was selected as the optimal cutoff value. All research samples were divided
into high-value (5.57 U/L, n = 2346) and low-value groups (5.57 U/L, n
= 4209). Key clinical outcomes included all-cause death (ACD),
cardiovascular death (CD), major adverse cardiovascular events (MACE), and major
adverse cardiovascular and cerebrovascular events (MACCE). After separating
patients into high and low value groups, multivariate Cox regression analysis was
used to correct for potential confounding variables. Finally, risk ratios and
their 95% confidence intervals (CIs) were calculated. Results: During
the follow-up period, 129 instances of ACD were recorded—49 cases (1.2%) in the
low-value group and 80 cases (3.4%) in the high-value group. Similarly, 102 CDs
occurred, including 42 low-value group cases (1.0%) and 60 high-value group
cases (2.6%). A total of 363 MACE occurred, including 198 low-value group cases
(4.7%) and 165 high-value group cases (7%). A total of 397 cases of MACCE
occurred, including 227 low-value group cases (5.4%) and 170 high-value group
cases (7.2%). As serum 5-NT increased, the incidence of ACD, CD, MACE and
MACCE increased. After multivariate Cox regression, high 5-NT levels were
linked with a 1.63-fold increase in ACD risk (hazard ratio [HR] = 2.630, 95% CI:
[1.770–3.908], p 0.001) when compared to low 5-NT patients.
Similarly, the risk of CD, MACE, and MACCE increased by 1.298-fold (HR = 2.298,
95% CI: [1.477–3.573], p 0.001), 41% (HR = 1.410, 95% CI:
[1.124–1.768], p = 0.003) and 30.5% (HR = 1.305, 95% CI:
[1.049–1.623], p = 0.017), respectively. Conclusions: high
serum 5-NT levels were independently correlated with adverse clinical
outcomes in CAD patients following PCI, affirming its potential as a prognostic
indicator.