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. 2026 Jun 8;26:689. doi: 10.1186/s12872-026-05971-x

Table 2.

Diagnostic performance of the handheld 6-lead ECG compared with the standard 12-lead ECG in different acquisition positions

Supine position (113 pairs)
MUSE (N) Accuracy
(95% CI)
Sensitivity
(95% CI)
Specificity
(95% CI)
PPV (95% CI) NPV (95% CI)
Sinus rhythm 46 100.0 (96.8–100.0) 100.0 (92.3–100.0) 100.0 (94.6–100.0) 100.0 (92.3–100.0) 100.0 (94.6–100.0)
APC 7 100.0 (96.8–100.0) 100.0 (59.0–100.0) 100.0 (96.6–100.0) 100.0 (59.0–100.0) 100.0 (96.6–100.0)
VPC 15 100.0 (96.8–100.0) 100.0 (78.2–100.0) 100.0 (96.3–100.0) 100.0 (78.2–100.0) 100.0 (96.3–100.0)
AF 35 99.1 (95.2–100.0) 100.0 (90.0–100.0) 98.7 (93.1–100.0) 97.2 (85.5–99.9) 100.0 (95.3–100.0)
AFL 10 99.1 (95.2–100.0) 90.0 (55.5–99.7) 100.0 (96.5–100.0) 100.0 (66.4–100.0) 99.0 (94.8–100.0)
Sitting position (116 pairs)
MUSE (N) Accuracy
(95% CI)
Sensitivity
(95% CI)
Specificity
(95% CI)
PPV (95% CI) NPV (95% CI)
Sinus rhythm 47 100.0 (96.9–100.0) 100.0 (92.5–100.0) 100.0 (94.8–100.0) 100.0 (92.5–100.0) 100.0 (94.8–100.0)
APC 5 100.0 (96.9–100.0) 100.0 (47.8–100.0) 100.0 (96.7–100.0) 100.0 (47.8–100.0) 100.0 (96.7–100.0)
VPC 17 100.0 (96.9–100.0) 100.0 (80.5–100.0) 100.0 (96.3–100.0) 100.0 (80.5–100.0) 100.0 (96.3–100.0)
AF 39 99.1 (95.3–100.0) 100.0 (91.0–100.0) 98.7 (93.0–100.0) 97.5 (86.8–99.9) 100.0 (95.3–100.0)
AFL 8 99.1 (95.3–100.0) 87.5 (47.3–99.7) 100.0 (96.6–100.0) 100.0 (59.0–100.0) 99.1 (95–100.0)

ECG electrocardiogram, TP true positive, FP false positive, FN false negative, CI confidence interval, PPV positive predictive value, NPV negative predictive value, APC atrial premature complex, VPC ventricular premature complex, AF atrial fibrillation, AFL atrial flutter