In the context of an aging population and escalating work pressures, cardiovascular diseases pose increasing health risks. Electrocardiogram (ECG) monitoring presents a preventive tool, but conventional devices often compromise comfort. This study proposes an approach using Ag NW/TPU composites for flexible and breathable epidermal electronics. In this new structure, TPU fibers are used to support Ag NWs/TPU nanocomposites. The TPU fiber-reinforced Ag NW/TPU (TFRAT) nanocomposites exhibit excellent conductivity, stretchability, and electromechanical durability. The composite ensures high steam permeability, maintaining stable electrical performance after washing cycles. Employing this technology, a flexible ECG detection system is developed, augmented with a convolutional neural network (CNN) for automated signal analysis. The experimental results demonstrate the system’s reliability in capturing physiological signals. Additionally, a CNN model trained on ECG data achieves over 99% accuracy in diagnosing arrhythmias. This study presents TFRAT as a promising solution for wearable electronics, offering both comfort and functionality in long-term epidermal applications, with implications for healthcare and beyond.