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

Table 3.

Bland–Altman analysis between the standard 12-lead and handheld 6-lead ECGs in different acquisition positions

Supine position (107 pairs)
Metric N Mean difference SD Upper LOA Lower LOA Outliers N (%)
Heart rate (bpm) 107 0.03 1.12 2.23  − 2.17 8 (7.5)
PR interval (ms) 63 12.06 13.86 39.23  − 15.11 2 (3.2)
QRS duration (ms) 107  − 6.38 14.89 22.80  − 35.57 6 (5.6)
QT interval (ms) 107  − 10.34 22.68 34.11  − 54.79 6 (5.6)
QTc interval (ms) 107  − 11.52 26.36 40.16  − 63.19 4 (3.7)
P amplitude (mV) 63  − 0.01 0.05 0.08  − 0.11 3 (4.8)
QRS amplitude (mV) 107 0.04 0.11 0.26  − 0.18 9 (8.4)
T amplitude (mV) 107  − 0.01 0.05 0.09  − 0.10 2 (1.9)
Sitting position (109 pairs)
Metric N Mean difference SD Upper LOA Lower LOA Outliers N (%)
Heart rate (bpm) 109 0.03 1.24 2.46  − 2.40 8 (7.3)
PR interval (ms) 61 7.39 16.88 40.47  − 25.69 4 (6.6)
QRS duration (ms) 109  − 6.04 15.28 23.91  − 35.99 3 (2.8)
QT interval (ms) 109  − 5.32 25.27 44.21  − 54.85 6 (5.5)
QTc interval (ms) 109  − 6.41 30.57 53.50  − 66.33 2 (1.8)
P amplitude (mV) 61 0.01 0.04 0.08  − 0.07 4 (6.6)
QRS amplitude (mV) 109 0.04 0.07 0.18  − 0.09 6 (5.5)
T amplitude (mV) 109 0.00 0.05 0.10  − 0.09 6 (5.5)

Negative values indicated higher measurements from the 6-lead ECG. LOA was calculated using the mean difference and SD. The upper LOA was defined as the mean difference plus 1.96*SD, and the lower LOA was defined as the mean difference minus 1.96*SD. Cases without identifiable P waves were excluded from PR interval and P amplitude analyses.

ECG electrocardiogram, SD standard deviation, LOA limits of agreement, bpm beats per minute, ms milliseconds, mV millivolts