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Cardiac Pacemaker Market Analysis & Forecast: 2025-2032

Cardiac Pacemaker Market, By Product Type (Single-chamber Pacemaker, Dual-chamber Pacemaker, Biventricular Pacemaker), By Implantability (Implantable Pacemakers and External Pacemakers), By End User (Hospitals, Cardiac Clinics, Ambulatory Surgical Centers), By Geography (North America, Latin America, Europe, Asia Pacific, Middle East & Africa)

  • Published In : 01 Oct, 2025
  • Code : CMI1765
  • Pages :197
  • Formats :
      Excel and PDF
  • Industry : Medical Devices
  • Historical Range: 2020 - 2024
  • Forecast Period: 2025 - 2032

Cardiac Pacemaker Market Analysis & Forecast: 2025-2032

Cardiac Pacemaker Market is estimated to be valued at USD 5,158.0 Mn in 2025 and is expected to reach USD 7,311.2 Mn in 2032, exhibiting a compound annual growth rate (CAGR) of 5.1% from 2025 to 2032.

Cardiac Pacemaker Market Key Factors

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Key Takeaways

  • According to Product Type, The Single-Chamber Pacemaker Category is anticipated to account for the largest share of 45.3% for the cardiac pacemaker market in 2025.
  • According to Implantability, The Implantable Pacemaker Segment is anticipated to hold 64% share of the cardiac pacemaker market in 2025.
  • According to End User, Hospitals Category dominates the Cardiac Pacemaker Market with 33.6% for market share in 2025.
  • According to region, North America holds the largest market share of 46.1% for Cardiac Pacemaker market growth by 2025.

Market Overview

The cardiac pacemaker market Size is steadily expanding as a result of aging populations, rising cardiovascular disease rates, and continuous technological developments like leadless pacemakers and MRI compatibility. Cardiac pacemaker market growth is driven by rising geriatric population worldwide and the subsequent increase in the prevalence of cardiovascular and heart diseases. However, the availability of alternative therapies for cardiac arrhythmia monitoring device and the risks and complications associated with pacemaker implants may hamper the cardiac pacemaker market growth during the forecast period.

For instance, in November 2024, Abbott, the global healthcare company announced the launch of AVEIR VR single-chamber ventricular leadless pacemaker for the treatment of patients in India with slow heart rhythms.

Current Events and Its Impact on the Cardiac Pacemaker Market

Event

Description and Impact

Regulatory clearances for leadless, miniature pacemakers

  • Description: The FDA in the United States authorized the first leadless pacemaker, the Medtronic Micra Transcatheter Pacing System, in April 2016.  Abbott's Aveir VR Leadless Pacemaker, a second leadless pacemaker, received FDA approval in 2020.  The technology's broader acceptance has been made possible by these approvals.  
  • Impact: Leadless pacemakers offer several clinical benefits over traditional pacemakers. A study published in the Journal of the American College of Cardiology in 2018 found that leadless pacemakers had a 63% lower risk of complications compared to traditional pacemakers. The study analyzed data from 1,521 patients implanted with the Micra leadless pacemaker.
  • Description: Leadless pacemakers eliminate the need for leads, which are a common source of complications in traditional pacemakers. A study published in the Heart Rhythm Journal in 2019 reported a 0.4% major complication rate for leadless pacemakers, compared to 4.0% for traditional pacemakers.   
  • Impact: Initially, leadless pacemakers were approved for patients with specific indications, such as atrial fibrillation with slow ventricular response. However, ongoing research is expanding the indications for these devices. For example, a study published in the Journal of the American College of Cardiology in 2021 demonstrated the feasibility of leadless pacing in patients with atrioventricular block.  

Surge in product recalls and device malfunctions

  • Description: In 2021, Medtronic, a major player in the cardiac pacemaker market, recalled its Micra Transcatheter Pacing System due to potential battery issues, affecting over 95,000 devices worldwide. Abbott Laboratories recalled its Assurity and Endurity pacemakers in 2019 due to a software issue that could cause the devices to stop functioning, impacting around 465,000 devices.
  • Impact: Biotronik, in 2021, identified a rare issue with its Rivacor and Acticor pacemakers, where the device's electronic circuit could potentially malfunction, leading to a loss of pacing output.     
  • Description: The increasing number of product recalls and device malfunctions has led to heightened scrutiny from regulatory authorities and a decline in patient confidence in cardiac pacemakers.    
  • Impact: In response to the surge in product recalls and device malfunctions, regulatory bodies such as the U.S. Food and Drug Administration (FDA) have intensified their oversight of the cardiac pacemaker market.   

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Segmental Insights

Cardiac Pacemaker Market by Product Type

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Cardiac Pacemaker Market Insights, by Product Type - Single-Chamber Pacemaker Dominates Owing to Their Affordable Price Point

Product Type, the Single-chamber pacemaker segment is estimated to hold 45.3% of the market share in 2025, owing to their affordable price point. Single-chamber pacemakers offer a more basic yet effective solution at a fraction of the cost of dual-chamber or biventricular models, thus, making them desirable for price-sensitive customers.

Their simple design with only one lead wire also reduces manufacturing complexities and costs. Given the large population without health coverage, single-chamber pacemakers remain the go-to option for those seeking an affordable treatment option. This has ensured their continued dominance in the global cardiac pacemaker market over the years.  

Cardiac Pacemaker Market Insights, by Implantability - Leads Owing to Their Enhanced Clinical Suitability and Acceptance

Implantability segment is sub-segmented into implantable pacemakers and external pacemakers. Implantable pacemakers’ segment is estimated to hold 64% of the market share in 2025, owing to their enhanced clinical suitability and acceptance. Unlike external pacemakers used temporarily, implantable devices offer permanence once surgically placed inside the body. This allows for superior management of cardiac arrhythmias without restrictions on patient movement or lifestyle.

Implantable cardiac pacemakers are also more seamlessly integrated with the body's physiology. Advancements in miniaturization have increased comfort levels while reducing risks of inflection and rejection. Their long-term reliability negates the need for frequent replacement. Widespread physician recommendation and training have boosted user familiarity and preference for implantable pacemakers over other options. This has established them as the gold standard treatment in most healthcare settings.

Cardiac Pacemaker Market Insights, by End User - Hospitals is Surging as Most Patients Prefer Dedicated Cardiac Facilities for Pacemaker Implantation and Management

Hospitals segment is estimated to hold 33.6% of the market share in 2025 as most patients prefer dedicated cardiac facilities for pacemaker implantation and management. Hospitals employ skilled cardiac specialists, equip themselves with advanced diagnostic technologies and operate high-level intensive care units required for pacemaker procedures.

These also offer post-operative care and monitoring at convenient locations. This provides patients assurance of comprehensive care. Many countries also lack widespread access to cardiac clinics or surgery centers in rural areas. Hospitals remain the default option for a majority, driving their sales volumes. Governments and insurance providers also prefer recognized hospital infrastructures for reimbursing cardiac device costs.

Regional Insights

Cardiac Pacemaker Market By Regional Insights

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North America Cardiac Pacemaker Market

North America remains the dominant region in the global cardiac pacemaker market and is estimated to hold 46.1% of the market share in 2025. The U.S.  leads the regional market and accounts for the major share due to the strong presence of leading pacemaker manufacturers in the country. Factors such as rising geriatric population suffering from cardiovascular diseases, favorable reimbursement policies, and higher healthcare spending have boosted the sales of pacemakers in the US.

The region is an early adopter of advanced devices due to the high acceptance of new technologies among physicians and patients. Leading global players such as Medtronic, Abbott, and Boston Scientific have their headquarters in the U.S., allowing them to cater to the regional demands efficiently and maintain their stronghold.

Asia Pacific Cardiac Pacemaker Market

Asia Pacific has shown potential to become the fastest-growing region in the global market. China dominates the Asia Pacific cardiac pacemaker market due to rising incidence of cardiovascular diseases and growing healthcare expenditure. Moreover, the presence of a large patient pool makes the country highly lucrative for pacemaker manufacturers. With improving medical infrastructure and affordability, the adoption of pacemakers is increasing at a rapid pace in China.  

Cardiac Pacemaker Market Dominating Countries

U.S Cardiac Pacemaker Market

The U.S. benefits from advanced healthcare infrastructure, early adoption of cutting-edge technologies such as leadless and MRI-compatible pacemakers, and favorable reimbursement policies that improve patient access to these devices.   

India Cardiac Pacemaker Market

India is emerging as a significant market for cardiac pacemakers within the Asia Pacific region, propelled by a large and growing patient population suffering from cardiovascular diseases. Factors such as increasing healthcare awareness, rising disposable incomes, and improving access to advanced medical technologies are contributing to market expansion.   

Cardiac Pacemaker Market in China

China dominates the Asia Pacific cardiac pacemaker market, driven by its vast population, escalating incidence of cardiovascular diseases, and rising healthcare expenditure. The country’s rapid urbanization and lifestyle changes have contributed to a higher prevalence of heart rhythm disorders, making it a lucrative market for pacemaker manufacturers. 

Market Report Scope

Cardiac Pacemaker Market Report Coverage

Report Coverage Details
Base Year: 2024 Market Size in 2025: USD 5,158.0 Mn
Historical Data for: 2020 To 2024 Forecast Period: 2025 To 2032
Forecast Period 2025 to 2032 CAGR: 5.1% 2032 Value Projection: USD 7,311.2 Mn
Geographies covered:
  • North America: U.S. and Canada
  • Latin America: Brazil, Argentina, Mexico, and Rest of Latin America
  • Europe: Germany, U.K., Spain, France, Italy, Russia, and Rest of Europe
  • Asia Pacific: China, India, Japan, Australia, South Korea, ASEAN, and Rest of Asia Pacific
  • Middle East: GCC Countries, Israel, and Rest of Middle East
  • Africa: South Africa, North Africa, and Central Africa
Segments covered:
  • By Product Type: Single-chamber Pacemaker, Dual-chamber Pacemaker, Biventricular Pacemaker
  • By Implantability: Implantable Pacemakers and External Pacemakers
  • By End User: Hospitals, Cardiac Clinics, Ambulatory Surgical Centers 
Companies covered:

Medtronic, Boston Scientific Corporation, Abbott, BIOTRONIK SE & Co. KG, Pacetronix , Lepu Medical Technology (Beijing)Co., Ltd., LIVANOVA PLC, OSCOR Inc., MEDICO S.R.L., MicroPort Scientific Corporation, OSYPKA MEDICAL, Vitatron Holding B.V.

Growth Drivers:
  • Increasing Product Approval by Regulatory Authorities
  • Increasing Inorganic Activities Among Market Players
Restraints & Challenges:
  • Increasing Product Recalls
  • Stringent Regulatory Framework

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Cardiac Pacemaker Market: Growth Drivers

  • Increasing product approval by regulatory authorities

Increasing product approval by regulatory authorities is expected to drive the global cardiac pacemaker market growth over the forecast period. For instance, in April 2025, Medtronic has received FDA approval for its OmniaSecure™ defibrillation lead, the world’s smallest-diameter lumenless lead at 4.7 French. Designed for right ventricular placement, it aims to reduce complications. Clinical trials also showed 100% defibrillation success when implanted in the left bundle branch area, highlighting its potential for physiologic pacing.

  • Increasing inorganic activities among market players

Increasing inorganic activities such as agreements, partnerships, and collaborations among market players is expected to drive the global cardiac pacemaker market growth over the forecast period.

Cardiac Pacemaker Market: Trends

  • Integration of Remote Monitoring and Digital Health

Pacemakers with remote monitoring capabilities allow healthcare professionals to track device performance and patient heart function in real time, often via smartphone apps. This trend supports better patient outcomes and reduces the need for frequent in-person check-ups.

Cardiac Pacemaker Market: Opportunities

  • Increasing Investments by Key Market Players

Increasing adoption of inorganic growth strategies such as investments is expected to drive growth of the global cardiac pacemaker market. For instance, in July 2025, Ligand Pharmaceuticals and Medtronic have jointly committed $70 million in strategic capital to support Orchestra BioMed’s growth. The investment aims to accelerate development of innovative therapies, including the BackBeat Cardiac Neuromodulation Therapy for hypertension. This collaboration strengthens Orchestra BioMed’s financial position and advances its mission to deliver high-impact cardiovascular solutions.

Cardiac Pacemaker Market: Key Developments

  • April 2025, Northwestern University engineers have developed a pacemaker so tiny that it can fit inside the tip of a syringe — and be non-invasively injected into the body. Although it can work with hearts of all sizes, the pacemaker is particularly well-suited to the tiny, fragile hearts of newborn babies with congenital heart defects.
  • March 2025, MicroPort CRM is proud to announce that its associated company, MicroPort CRM Shanghai, launched the localized version of the TEN pacemaker family in China. The TEN pacemaker range includes six models across three categories: T, E, and N, offering both single-chamber and dual-chamber frequency-responsive pacemakers. These devices are designed with a compact size, long battery life, automation, and physiological performance.
  • July 2024, Fadi Mansour performed the first Canadian implant of BIOTRONIK’s newest pacemaker and CRT-P generation earlier this year at the Centre Hospitalier de l'Université de Montréal. The patient received an Amvia Sky HF-T QP triple chamber pacemaker device. The first implant follows the full market release of BIOTRONIK’s newest family of pacemaker and CRT-P devices, featuring patient-centric technologies for better patient care and simplified workflows.
  • In July 2023, Abbott, a medical device company, announced that the U.S. Food and Drug Administration (FDA) had approved the AVEIR dual chamber (DR) leadless pacemaker system, the world's first dual chamber leadless pacing system that treats people with abnormal or slow heart rhythms. Leadless pacemakers provide a new minimally invasive option that will revolutionize care for more people in the U.S. who need pacing to treat a variety of slow or abnormal heart rhythms.

Analyst Opinion

  • The cardiac pacemaker market is expected to witness steady growth over the forecast period which is driven by the increasing preva;ence of cardiovascular diseases and growing geriatric population worldwide. The rise in number of patients requireing pacemaker implantation will drive the demand for pacemakers.
  • Technological advancements leading to development of innovative pacemakers with enhanced features is another key factor that will provide opportunities for market players in the industry. However, the high cost of pacemaker devices and procedures may restrain the market growth to some extent.
  • North America will likely continue its dominance supported by avaialbility of advanced technologies and presence of major mnufacturers. The Asia Pacific region is projected to be the fastest growing market for cardiac pacemakers given the improving healthcare infrastructure and rising healthcare spending in developing countries of the region. Within Aisa, China and India are expected to offer most promising growth prospects owing to their large population base and unmet needs.
  • With the advent of smartphone-connectable pacemakers, remote monitoring capability is fast gaining popularity. This allows regular check-ups without patients needing frequent hospital visits thus improving patient outcomes. Multi-chamber pacing models are also gaining traction due to their ability to treat complex arrhythmia effectively. 

Market Segmentation

  • By Product Type
    • Single-chamber Pacemaker
    • Dual-chamber Pacemaker
    • Biventricular Pacemaker
  • By Implantability
    • Implantable Pacemakers
    • External Pacemakers
  • By End User
    • Hospitals
    • Cardiac Clinics
    • Ambulatory Surgical Centers
  • By Region
    • North America
      • U.S.
      • Canada
    • Latin America
      • Brazil
      • Argentina
      • Mexico
      • Rest of Latin America
    • Europe
      • Germany
      • U.K.
      • Spain
      • France
      • Italy
      • Russia
      • Rest of Europe
    • Asia Pacific
      • China
      • India
      • Japan
      • Australia
      • South Korea
      • ASEAN
      • Rest of Asia Pacific
    • Middle East
      • GCC Countries
      • Israel
      • Rest of Middle East
    • Africa
      • South Africa
      • North Africa
      • Central Africa
  • Company Profiles
    • Medtronic
    • Boston Scientific Corporation
    • Abbott
    • BIOTRONIK SE & Co. KG
    • Pacetronix 
    • Lepu Medical Technology(Beijing)Co., Ltd.
    • LIVANOVA PLC
    • OSCOR Inc.
    • MEDICO S.R.L.
    • MicroPort Scientific Corporation
    • OSYPKA MEDICAL
    • Vitatron Holding B.V.

Sources

Primary Research interviews

  • Cardiologists and Electrophysiologists
  • Biomedical Engineers at device manufacturers
  • Procurement leads at hospitals or hospital groups (e.g., Apollo Hospitals, Mayo Clinic)
  • Product Managers at Medtronic, Abbott, Boston Scientific
  • Distributors of cardiac implants in regional markets

Databases

  • WHO Global Health Observatory (GHO)
  • World Bank Health Indicators
  • OECD Health Statistics
  • US CMS (Centers for Medicare & Medicaid Services)
  • Indian National Health Authority (NHA)

Magazines

  • MedTech Dive
  • Medical Device Network
  • BioSpectrum Asia
  • Fierce Biotech / Fierce MedTech
  • The MedTech Strategist

Journals

  • Journal of the American College of Cardiology (JACC)
  • European Heart Journal
  • Heart Rhythm (by Heart Rhythm Society)
  • Circulation (AHA)
  • Journal of Cardiovascular Electrophysiology
  • The Lancet Digital Health

Newspapers

  • The Wall Street Journal (Health & Life Sciences section)
  • Financial Times (Healthcare sector)
  • The Economic Times (India – Health & Pharma)
  • Nikkei Asia (Japan’s medical device market)
  • The Hindu BusinessLine

Associations

  • American College of Cardiology (ACC)
  • Heart Rhythm Society (HRS)
  • European Society of Cardiology (ESC)
  • Asia Pacific Heart Rhythm Society (APHRS)
  • Advanced Medical Technology Association (AdvaMed)
  • Association of Indian Medical Device Industry (AiMeD)
  • Medical Device Innovation Consortium (MDIC)

Proprietary Elements

  • CMI Data Analytics Tool, Proprietary CMI Existing Repository of information for last 8 years

*Definition: A cardiac pacemaker is a small-sized device that is implanted in the chest to control the slow heartbeat. The cardiac pacemaker implantation is carried out with a surgical procedure. There are three types of cardiac pacemakers such as single-chamber pacemaker, dual-chamber pacemaker, and biventricular pacemaker.     

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About Author

Komal Dighe is a Management Consultant with over 8 years of experience in market research and consulting. She excels in managing and delivering high-quality insights and solutions in Health-tech Consulting reports. Her expertise encompasses conducting both primary and secondary research, effectively addressing client requirements, and excelling in market estimation and forecast. Her comprehensive approach ensures that clients receive thorough and accurate analyses, enabling them to make informed decisions and capitalize on market opportunities.

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Frequently Asked Questions

The Cardiac Pacemaker Market size is estimated to be valued at USD 5,158.0 Mn in 2025, and is expected to reach USD 7,311.2 Mn by 2032.

The CAGR of the global Market is projected to be 5.1% from 2025 to 2032.

Increasing product approval by regulatory authorities and increasing inorganic activities among market players are the major factors driving the growth of global market.

Increasing product recalls and stringent regulatory framework are the major factors hampering the growth of global cardiac pacemaker industry.

In terms of product type, single-chamber pacemaker segment is estimated to dominate the market in 2025.

Medtronic, Boston Scientific Corporation, Abbott, BIOTRONIK SE & Co. KG, Pacetronix , Lepu Medical Technology(Beijing)Co., Ltd., LIVANOVA PLC, OSCOR Inc., MEDICO S.R.L., MicroPort Scientific Corporation, OSYPKA MEDICAL, Vitatron Holding B.V. are the major players.

North America is expected to lead the global market.

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