Abstract Smart underwear was designed to meet the demands of elderly people be monitored in outpatient environments. Especially the demands of women have been addressed, who have heart failure but who still want to live in their home. The smart bra comprises textile electrodes and an ECG event recorder. The recorder transmits the data to the doctor only if artificial intelligence (AI) has discovered critical events in ECG signals. An implemented convolutional neural network, which uses the wavelet transformation of the ECG as input and to determine an interference index for this ECG signal is implemented. The smart bra can be part of new remote monitoring services such as e-consultation or as a new home-based follow-up to ensure seamless patient care after hospital or rehabilitation stays. Healthcare personnel has better access to the patient´s digital ECG data without direct consultation, independently of where the patient lives and the patient can feel safer.