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May I Have Your Opinion On The Attached Sleep Report.

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Posted on Mon, 15 Jun 2020
Question: May I have your opinion on the attached sleep report.

The data was gathered by a consumer device called the "O2Ring" by Wellue, essentially a continuous oximeter worn at night. Worn on the thumb in my case, it in fact looks like an oversized ring. It actually vibrates to awaken me when O2 levels drops below a set level - I set the alert to 88%.

I went to bed late, but wore it for 4 hours.

After the summary, the attached report breaks out by the hour.

My current medical history is noted, with the major concern is that I'm being treated for an enlarged Aorta at sinus of Valsalva, for which I have been prescribed Rosuvastatin 10mg, Metoprolol ER Succinate 25 mg, and Lisinopril 5 mg.

A couple questions (1) What is your opinion of attached report (i.e. sleep apnea, etc.) (2) What threshold should I set both the oxygen (88% ?) and heart rate (50 bpm ?), so that the device awakens me if these thresholds are crossed.

I appreciate your help.

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Follow up: Dr. Ivo Ditah (0 minute later)
May I have your opinion on the attached sleep report.

The data was gathered by a consumer device called the "O2Ring" by Wellue, essentially a continuous oximeter worn at night. Worn on the thumb in my case, it in fact looks like an oversized ring. It actually vibrates to awaken me when O2 levels drops below a set level - I set the alert to 88%.

I went to bed late, but wore it for 4 hours.

After the summary, the attached report breaks out by the hour.

My current medical history is noted, with the major concern is that I'm being treated for an enlarged Aorta at sinus of Valsalva, for which I have been prescribed Rosuvastatin 10mg, Metoprolol ER Succinate 25 mg, and Lisinopril 5 mg.

A couple questions (1) What is your opinion of attached report (i.e. sleep apnea, etc.) (2) What threshold should I set both the oxygen (88% ?) and heart rate (50 bpm ?), so that the device awakens me if these thresholds are crossed.

I appreciate your help.

doctor
Answered by Dr. Ivo Ditah (1 hour later)
Brief Answer:
See below!

Detailed Answer:
Hi and thanks so much for this query.

I have reviewed your information fully and the attached report from the O2ring monitoring device. Generally, your numbers are good. Unfortunately, this device cannot be used to diagnose sleep apnea.

This is my advice: Setting the heart rate to less than 50 and the oxygen saturation to less than 88% sounds reasonable. If you were to set higher numbers, you would have several sleep interruptions that would rather be counter intuitive.

First steps would have been to simply wear without an alarm setting to see how well the numbers display. From the numbers, we can look for a comfortable trade off at which you may set the alarm triggers.

While the O2ring seems a good idea to inform about your breathing and heart rate during sleep, it does little to address it. Waking you up all the times is not what is important but preventing that such low numbers are never attained to begin with. This is where the beauty and advantage of a sleeping machine comes in.

My advice: From your weight, heigh and disease conditions, you need a formal sleep study to evaluate for sleep apnea. If you do have any, then receiving treatment would be helpful. On another note, using this device to provide more data on how well you are doing and maybe alert you if numbers are not going right for corrective action would be encouraged.

I hope this guides and helps. I wish you well. Feel free to follow up with me as need be.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Ivo Ditah (0 minute later)
Brief Answer:
See below!

Detailed Answer:
Hi and thanks so much for this query.

I have reviewed your information fully and the attached report from the O2ring monitoring device. Generally, your numbers are good. Unfortunately, this device cannot be used to diagnose sleep apnea.

This is my advice: Setting the heart rate to less than 50 and the oxygen saturation to less than 88% sounds reasonable. If you were to set higher numbers, you would have several sleep interruptions that would rather be counter intuitive.

First steps would have been to simply wear without an alarm setting to see how well the numbers display. From the numbers, we can look for a comfortable trade off at which you may set the alarm triggers.

While the O2ring seems a good idea to inform about your breathing and heart rate during sleep, it does little to address it. Waking you up all the times is not what is important but preventing that such low numbers are never attained to begin with. This is where the beauty and advantage of a sleeping machine comes in.

My advice: From your weight, heigh and disease conditions, you need a formal sleep study to evaluate for sleep apnea. If you do have any, then receiving treatment would be helpful. On another note, using this device to provide more data on how well you are doing and maybe alert you if numbers are not going right for corrective action would be encouraged.

I hope this guides and helps. I wish you well. Feel free to follow up with me as need be.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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May I Have Your Opinion On The Attached Sleep Report.

May I have your opinion on the attached sleep report. The data was gathered by a consumer device called the "O2Ring" by Wellue, essentially a continuous oximeter worn at night. Worn on the thumb in my case, it in fact looks like an oversized ring. It actually vibrates to awaken me when O2 levels drops below a set level - I set the alert to 88%. I went to bed late, but wore it for 4 hours. After the summary, the attached report breaks out by the hour. My current medical history is noted, with the major concern is that I'm being treated for an enlarged Aorta at sinus of Valsalva, for which I have been prescribed Rosuvastatin 10mg, Metoprolol ER Succinate 25 mg, and Lisinopril 5 mg. A couple questions (1) What is your opinion of attached report (i.e. sleep apnea, etc.) (2) What threshold should I set both the oxygen (88% ?) and heart rate (50 bpm ?), so that the device awakens me if these thresholds are crossed. I appreciate your help.