In today's world, the importance of quality and healthy life has increased and new methods that are provided by technological developments offer new opportunities in the field of health. For this purpose, many studies have been done. It is thought that examination of these studies will reduce the waste of time, prevent repetitive work, provide sharing of information for future studies. The aim of this study is to make a general evaluation of the patent works, studies in literature that have been developed with wearable systems and designing of wearable ECG monitoring athlete application. The most important features of the athlete application in this study are ease of use, reduction of detractive artifacts, interchangeability, less inconvenience and wearability. The findings of this article are real time ECG monitoring application with designed athlete, current status and future expectations of wearable system. This prototype athlete application can be used achieving different physiological signals by changing sensors. In addition, this application can be wireless by using wireless modules. © 2011 Bentham Science Publishers.