The invention relates to a reliably working electrocardiograph monitoring instrument with the angle adjusting function. The electrocardiograph monitoring instrument comprises a main body, an adjustingmechanism and a heat dissipation mechanism. The adjusting mechanism includes a bottom plate, a supporting shaft, a fixed sleeve, a lifting rod, a lifting plate, two mounting bearings, two supports and two limiting assemblies. The limiting assemblies include sliding rods, supporting rods, first springs, second springs, sliding blocks, friction discs, fixed pulleys and connecting wires. Besides, the heat dissipation mechanism includes a rotary disc, a heat conduction pipe, a transmission rod, a piston block, an air cylinder and at least two protruding strips. According to the invention, the angle of the electrocardiograph monitoring instrument can be adjusted by the adjusting mechanism and the practicability of the electrocardiograph monitoring instrument is improved; and with the heat dissipation mechanism, the heat dissipation efficiency of the electrocardiograph monitoring instrument is improved and the working reliability of the electrocardiograph monitoring instrument is enhanced.