Qwt is basically tightly coupled with widgets. You can create a plot as a widget, show it on the screen, grab its contents using QWidget::grabWidget(), hide the widget and use the pixmap created to render it onto a graphics item. It will be quite slow though, so if you want to have something close to real-time updates, I suggest you implement your own plotting as a graphics item directly, especially that you'll be able to use many features it has and which are not handled by Qwt (like the level of detail).
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