A wearable electrocardiogram (ECG) acquisition system implemented with planar-fashionable circuit board (P-FCB)-based shirt is presented. The proposed system removes cumbersome wires from conventional Holter monitor system for convenience. Dry electrodes screen-printed directly on fabric enables long-term monitoring without skin irritation. The ECG monitoring shirt exploits a monitoring chip with a group of electrodes around the body, and both the electrodes and the interconnection are implemented using P-FCB to enhance wearability and to lower production cost. The characteristics of P-FCB electrode are shown, and the prototype hardware is implemented to successfully verify the proposed concept.