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In this paper, we present an Internet of Things (IoT)-based health care system implementation scheme using Hidden Markov Model (HMM) chain and ElectroCardioGram (ECG) sensors within the context of e-Health. The scheme aims to facilitate improved monitoring and timely intervention for Cardio Vascular Diseases (CVD) patients thereby enhancing medical services for such patients. As real-time monitoring of patients from different locations remains a critical challenge for IoT-based health care systems, this implementation employs patient path estimator, patient table and alert management schemes within the hospital to facilitate the localisation and timely intervention for the treatment of CVD patients.