An IoT Based Electro cardiogram monitoring system will continue monitor the patient health condition related to heart and update immediately if any abnormality found in the patient health viz Wi-Fi to things peak application in mobile phone. The doctor located at remote location will monitor the situation accordingly and take appropriate decision, so that life time of the patient will be increased. In addition to it we may predict the health condition in advance using artificial intelligence. Based on patient health data we may produce trainee set and compare it with test set to estimate the variation in the health status and based on variation observed it may alert the doctor to indicate the early deterioration of patient health condition, so that we may arrest the growth of disease in advance. Here we are using ECG sensor to take the patient health data and it will be processed using Arduino board, Arduino microcontroller will compare the patient ECG with threshold limits, if it crosses lower or upper value it may alert the doctor. After processing it will transfer data to smart phone using Wi-Fi. Patient data will be continuously logged and it will be taken as trainee set and compared it with available test set to estimate the patient health condition in advance.