Wireless technology development has increased rapidly due to it's convenience and cost effectiveness compared to wired applications, particularly considering the advantages offered by Wireless Sensor Network (WSN) based applications. Such applications exist in several domains including healthcare, medical, industrial and home automation. In the present study, a home-based wireless ECG monitoring system using Zigbee technology is considered. Such systems can be useful for monitoring people in their own home as well as for periodic monitoring by physicians for appropriate healthcare, allowing people to live in their home for longer. Health monitoring systems can continuously monitor many physiological signals and offer further analysis and interpretation. The characteristics and drawbacks of these systems may affect the wearer's mobility during monitoring the vital signs. Real-time monitoring systems record, measure, and monitor the heart electrical activity while maintaining the consumer's comfort. Zigbee devices can offer low-power, small size, and a low-cost suitable solution for monitoring the ECG signal in the home, but such systems are often designed in isolation, with no consideration of existing home control networks and smart home solutions. The present study offers a state of the art review and then introduces the main concepts and contents of the wireless ECG monitoring systems. In addition, models of the ECG signal and the power consumption formulas are highlighted. Challenges and future perspectives are also reported. The paper concludes that such mass-market health monitoring systems will only be prevalent when implemented together with home environmental monitoring and control systems.