The world has seen a substantial growth in the number of senior citizens who often endure from heart disease in recent times and has seen a major spread of the viral disease (COVID-19) in recent months, resulting in thousands of deaths, particularly among the elderly and people suffering from heart disease. Among the most promising health care that seek to relieve the suffering of patients, particularly the elderly, by eliminating the trouble of going to hospital centers for treatment and enabling them to obtain medical attention in their homes. The IoT has been depended on and its use has seen broad adoption in health care, where it is commonly used remotely to track patient health. Fog computing expands the computational capabilities of the cloud to the edge devices of the IoT, enabling many smart devices in healthcare to provide services such as storing and retrieving information to their users. However in the traditional cloud-based system, there is a timing delay in providing a reliable and secure heart monitoring system. The main objective of this work is to develop a fog-enabled cloud-based (FECB) heart rate monitoring unit that allows better network use and energy consumption. In terms of performance metrics, such as latency and delay, the proposed system also outperforms the existing system.