External Pacemaker Market Trends

  • Report ID: 2576
  • Published Date: Sep 08, 2025
  • Report Format: PDF, PPT

External Pacemaker Market Growth Drivers and Challenges:

Growth Drivers

  • Rising government expenditure: One of the key drivers in the market is the increasing government expenditure, which is fueling the demand for advanced healthcare devices. For instance, in 2023, CMS reported that U.S. Medicare expenditure on cardiac equipment reached a substantial amount of USD 4.2 billion, with external pacemakers particularly accounting for USD 620.3 million. Besides, in 2024, Germany's public healthcare systems assigned €1.4 billion for arrhythmia treatments. Hence, such spending is readily blistering the market expansion internationally.

  • Technological advancements: Ongoing innovations in the external pacemaker market significantly support market expansion across all nations. The patient population worldwide is encouraging for the development of advanced pacemakers. In 2023, the U.S. FDA highlighted that leadless pacemaker grew by 24%, and the adoption of remote monitoring conserved nearly 900,000 readmissions in 2024. Hence, this is the evidence for a wider scope, allowing the adoption of affordable technological innovations.

Historical Patient Growth and Its Impact on Market Expansion

The global market is primarily shaped by its large patient pool, which is rising prevalence of cardiovascular diseases among the aging population across all nations. This higher instance led to a rapid adoption of these innovative external pacemakers in the global markets of the U.S., Germany, and Japan. Besides, the developing countries such as China and India witnessed growth due to improved access to cardiovascular care. Germany and France reported annual growth of 4.9% and 5.3% due to state-funded cardiac initiatives. To capture the revenue potential, manufacturers must leverage affordable and innovative pacemaker solutions, thereby uplifting market development.

Below is the historical patient growth from 2010 to 2020, that is, external pacemaker users in millions:

Country

2010 Patients

2020 Patients

CAGR (%)

USA

0.84

1.53

6.3

Germany

0.35

0.55

4.9

France

0.30

0.49

5.3

Spain

0.21

0.35

5.5

Australia

0.15

0.24

5.9

Japan

0.48

0.95

7.5

India

0.12

0.21

9.3

China

0.21

0.49

8.6

Feasible Expansion Models Shaping the Market

The external pacemaker market is gaining traction with the consequential expansion models opted by the key players involved. One of the crucial trends preferred is the region-specific strategies, such as cost optimization, collaborations, and regulatory shifts. For instance, in 2024 WHO declared that suppliers of external pacemakers witnessed a 14% increase in their revenue from 2022 to 2024 by collaborating with domestic hospitals and a 32% cost reduction. Besides, in 2023, CMS reported an 8.3% revenue increment with outpatient coverage. Hence, these expansion models are anticipated to augment the market growth by 2035.

Below are feasibility models for market expansion (2023-2025):

Region

Strategy

Revenue Impact

Key Driver

India

Local manufacturing

+14% revenue (2022-2024)

Cost reduction (32%)

USA

Medicare outpatient coverage

+8.3% revenue (2023)

Expanded reimbursement

Germany

Public-private partnerships

+15.4% adoption (2024)

State-funded programs

China

Tier-2 city penetration

+9.5% sales (2023-2025)

Healthcare infrastructure upgrades

Japan

Premium wireless devices

+11.6% ASP growth (2024)

An aging population demands

Challenge

  • Increasing cost of advanced pacemakers: One of the primary challenges posed by the market is the high cost of the pacemakers. In this regard, AHRQ in 2024 reported that it costs around USD 1200 for temporary pacing in the U.S. Besides, in India, private healthcare facilities charge 3 times more than public healthcare systems, as reported by WHO in 2023. Furthermore, in 2024, the National Institute of Health stated that only 40.2% of patients in China can afford external pacemakers. These expenses restrict the widespread adoption of pacemaker equipment, limiting the industry's expansion.


Base Year

2025

Forecast Period

2026-2035

CAGR

4.1%

Base Year Market Size (2025)

USD 1.76 billion

Forecast Year Market Size (2035)

USD 2.63 billion

Regional Scope

  • North America (U.S., and Canada)
  • Asia Pacific (Japan, China, India, Indonesia, Malaysia, Australia, South Korea, Rest of Asia Pacific)
  • Europe (UK, Germany, France, Italy, Spain, Russia, NORDIC, Rest of Europe)
  • Latin America (Mexico, Argentina, Brazil, Rest of Latin America)
  • Middle East and Africa (Israel, GCC North Africa, South Africa, Rest of the Middle East and Africa)

Browse key industry insights with market data tables & charts from the report:

Frequently Asked Questions (FAQ)

In the year 2026, the industry size of external pacemaker is estimated at USD 1.82 billion.

The global external pacemaker market size was around USD 1.76 billion in 2025 and is likely to expand at a CAGR of more than 4.1%, surpassing USD 2.63 billion revenue by 2035.

North America external pacemaker market is poised to capture 38.70% share by 2035, driven by Medicaid reimbursement increases and AI-based monitoring adoption.

Key players in the market include Biotronik SE & Co KG, Medtronic plc, Osypka Medical GmbH, Braile Biomedica, Boston Scientific Corporation, Oscor Inc., Galix Biomedical Instrumentation Inc. and Shree Pacetronix Ltd.
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