Oura Ring Gen 4 sensor data — not clinical measurementsN=1 case study — not validated for clinical decisionsHEV diagnosed Mar 18; interpret findings cautiously in this Day 70 post-ruxolitinib window

Ruxolitinib Forecast

Generated 2026-05-26 07:21 · Patient 1 — Ruxolitinib Forecast
HRV (7-DAY)
Low
24.9ms
Target: 15 ms ESC threshold
Average RMSSD over past 7 nights
LOWEST HR (7-DAY)
Normal
68.9bpm
Target: <70 bpm
Mean lowest heart rate over past 7 nights
DAYS ON RUX
Info
71days
Since 2026-03-16
Days since ruxolitinib initiation
FIRST TARGET ETA
Info
Already met
HRV reaching ESC 15 ms threshold
Expected date based on current trajectory

Forecast Summary

Treatment duration: 71 days on ruxolitinib

HRV (RMSSD) Forecast:
• Current 7-day mean: 24.9 ms (slope: +2.29 ms/week, R²=0.313)
• Best model: exponential
• ESC Threshold (15 ms): Already met
• HSCT Range Low (25 ms): 2026-04-16 (50-95% CI: 2026-04-25 to 2026-05-11)
• Population 25th pct (36 ms): 2026-05-29 (50-95% CI: 2026-05-28 to 2026-06-26)

Heart Rate Forecast:
• Current 7-day mean lowest HR: 68.9 bpm (slope: -1.62 bpm/week)
• Normal (<70 bpm): Already met
• Good (<65 bpm): 2026-04-23
• Excellent (<60 bpm): 2026-05-15

HRV & HR Trajectories with Forecast

Milestone Timeline

Model Comparison: Linear vs Exponential (HRV)

Three-Phase Recovery Context

Methodology & Caveats

Data: 65 post-ruxolitinib HRV observations, 65 post-ruxolitinib HR observations from Oura Ring Gen 4 (consumer wearable, not clinical-grade).

Linear model: OLS regression on day number since treatment start (2026-03-16). Bootstrap: 1000 resamples for confidence intervals.

Exponential model: y = a · (1 - e-t/τ) + baseline, fit via scipy.optimize.curve_fit with bounded parameters. Model selection by AIC (lower = better).

Three scenarios: Optimistic (75th pct slope), Expected (50th pct), Conservative (25th pct).

Limitations (small N): With only ~65 data points, forecasts carry wide confidence intervals and may shift substantially as more data accumulates. Physiological recovery is non-linear and depends on factors not captured in wearable data (infection status, medication changes, immune reconstitution). These projections are exploratory, not clinical recommendations.