Oura ring trends feed into a Holter showing 2,078 PVCs in 24 h

Dubai clinic case: Oura ring heart-rate and HRV summaries, read by clinicians, fed into a stress test and Holter showing 2,078 PVCs in 24 h; the ring detects no arrhythmia and issued no alert.

AI system

System

ŌURA ring (heart-rate and heart-rate-variability summaries) used within GluCare.Health's hybrid care model

Model

Not assessed

Release

Not assessed

Application developer

Maker of the ŌURA ring (company not named in the paper)

Role

Not assessed

Configuration

Not assessed

Inputs and outputs

Not assessed

Autonomy

Not assessed

Workflow

Continuous ring wear under a clinic hybrid care model in which staff review daily synced heart-rate and HRV summaries. Risk factors (type 2 diabetes, smoking) that led to a treadmill stress test. Access to ECG, 24-hour Holter and echocardiography to confirm and characterize the PVCs.

Human oversight

Not assessed

Relation to AI

The ring generated no alert and, per the paper, cannot detect PVCs. Clinicians read its heart-rate and HRV summaries twice. Once was before the stress test (an elevated resting heart rate seen in remote monitoring is listed among the reasons for testing). Once was retrospectively afterwards. The ECG, stress test and Holter made the diagnosis. The paper describes no machine-learning component, so whether an AI system was involved is not shown by the source text. The only source is the treating clinic's case report.

AI contribution

The ring generated no alert and, per the paper, cannot detect PVCs. Clinicians read its heart-rate and HRV summaries twice. Once was before the stress test (an elevated resting heart rate seen in remote monitoring is listed among the reasons for testing). Once was retrospectively afterwards. The ECG, stress test and Holter made the diagnosis. The paper describes no machine-learning component, so whether an AI system was involved is not shown by the source text. The only source is the treating clinic's case report.

Benefits

Outcome identifiers

Not assessed

Benefit

a 24-hour Holter recorded 2,078 ventricular events (1.75% of beats, no couplets or runs)

Category

Improved Physical Health

Status

Not assessed

Beneficiary groups

People.

Beneficiaries

Not assessed

Reach

Not assessed

Distribution and access

Not assessed

Duration

Not assessed

Expected?

Yes

Costs and harms

Not assessed

Measurement

Studies

Not assessed

Study design

Not assessed

Measurement

Not assessed

Setting and sample

Not assessed

Measures

a 24-hour Holter recorded 2,078 ventricular events (1.75% of beats, no couplets or runs)

Comparison

Not assessed

Results

a 24-hour Holter recorded 2,078 ventricular events (1.75% of beats, no couplets or runs)

Additional value from AI

Not assessed

Limitations

Not assessed

Denominators

Not assessed

Materials for replication

Not assessed

Money

Kind of value

Not assessed

Amount

Not assessed

Currency and prices

Not assessed

Period and unit

Not assessed

Realization

Not assessed

Recipients and payers

Not assessed

Gross or net

Not assessed

Included costs

Not assessed

Comparison

Not assessed

Method

Not assessed

Return and payback

Not assessed

People and places

Participants

Developer: Maker of the ŌURA ring (company not named in the paper). Operator: GluCare.Health, Dubai.

Jurisdictions

Benefit: Dubai, United Arab Emirates. Developer: Finland. Operator: United Arab Emirates.

Ownership and control

Not assessed

Dependencies

Not assessed

Cross-border connections

Not assessed

Geopolitical implications

Not assessed

Follow-up

Conditions for replication

Clinicians act on wearable trend deviations. The clinic later wrote thresholds into its workflow (an RMSSD drop of more than 30% or a resting heart rate above 110 bpm prompts review). The patient keeps wearing and syncing the ring so that trends can be compared with a baseline.

Replication attempts

Not assessed

Later findings

The paper's own two-month and four-month follow-up (resting heart rate 83 to 74 bpm, RMSSD 15.2 to 32.8 ms) belongs to the first report; nothing published after it was found.

Availability

Not assessed

Institutional decision

Not assessed

Grounds

Not assessed

Action and result

Not assessed

Success criterion

Not assessed

Evidence

Source numbers

AIBD-0293-source-0001–0003

Citations

Numbered references below.

Language

Not assessed

Source relationships

Operator

Original evidence

Not assessed

Access and versions

Not assessed

Supported findings

Not assessed

Evidence strength

Not assessed

Missing evidence

Not assessed

Grades

Assessed benefits

People.

Depth

People: 1.

Reasons

People: One asymptomatic man had a low PVC burden (1.75%) characterized, judged benign, and managed with lifestyle change. The report documents no drug or procedure. The ring's share in prompting the work-up is stated inconsistently within the paper.

Observed or intended

Not assessed

Rubric

Not assessed

Assessor and date

Not assessed

Alternative assessments

Not assessed

Fill

The deployer's account

Entry details

Kind

Not assessed

Field

Healthcare (cardiology; diabetes care). Consumer wearables.

Purpose

The ring tracks heart rate, HRV and sleep for consumers. The clinic used those daily summaries as remote-monitoring markers in its diabetes program. The paper does not claim the ring was built to find arrhythmias.

Dates

Date basis unassessed: 2024 (precision unassessed). Updated: 21 October 2026.

Stage

Not assessed

Version

SHA-256: d3b952e1827d…

References

Other identifiers

Not assessed

Category mappings

Not assessed

Brief

Not assessed

Revisions

4 revisions. Latest: 21 October 2026.

Sources

  1. Case report Deployer

    Zakaria H, Roman I, Almarzooqi I, Hashemi A (2025). Integrating Wearables Into a Hybrid Care Model: Continuous Remote Monitoring of a Diabetic Patient With Frequent Premature Ventricular Contractions Using an ŌURA Ring. Cureus 17(6):e86174 (PMC12268106).