A patient worn sensor assembly for detecting, recording, and communicating patient vital signs can be integrated into a garment to be worn by the patient. A lead assembly can be integrated into a garment to connect electrodes in contact with the skin of a patient to a sensor assembly that collects vital sign information from the electrodes. The lead assembly can be multi-layered and can include, for example, two outer anti-static satin fabric layers as top and bottom layers, muslin fabric insulator layers adjacent to the anti-static satin fabric layers, shield layers that include muslin with silver fabric adjacent to the insulator layers, and an inner layer of fabric with conductive thread (or alternatively conductive thread not integrated with other fabrics, or a layer that is substantially composed of conductive thread).