Market research

Pacemakers market in Italy

Release date: Mar 30, 2026

Submission: 15 minutes after payment

Research period: 2017-2025

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File format: docx, xlsx

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Earlier Report Observations

In 2018, European and Italian regulators established clear rules for pacemakers, including the directive on active implantable medical devices and AIAC guidelines for implantation. These standards influenced implantation practices and safety requirements. The Italian pacemaker market grew from $256.9 million in 2020 to $284.7 million in 2021.

The market volume sharply contracted to $224.2 million in 2022, then recovered to $253.3 million in 2023. In 2024, it slightly declined to $242.4 million. During this year, innovative wireless bicameral pacemakers were introduced in Italy, and tax deductions for pacemaker expenses were implemented under the IRPEF model.

Table of content

1. Disclaimer
2. Terms of use of the report
3. Product codes in the statistical classifications used in the report
4. Key Market Indicators and Trends
1. 4.1. Key Market Indicators
  1. 4.1.1. In value
    1. 4.1.1.1. Production, 2020-2024
    2. 4.1.1.2. Imports, 2018-2024
    3. 4.1.1.3. Exports, 2018-2024
    4. 4.1.1.4. Market size, 2020-2024
2. 4.2. Market Trends and Factors
5. Production
1. 5.1. Production in Italy
  1. 5.1.1. In kind, 2020-2024, K unit
  2. 5.1.2. In value, 2020-2024, K $ US
2. 5.2. Production in the EU, 2018-2024
  1. 5.2.1. In kind, 2018-2024, K unit
  2. 5.2.2. In value, 2018-2024, K $ US
6. Imports
1. 6.1. Imports (Direct Data)
  1. 6.1.1. Imports - Total information
  2. 6.1.2. Imports in kind, K unit
    1. 6.1.2.1. Annual dynamics of product's imports to Italy in kind, 2018-2024, K unit
    2. 6.1.2.2. Dynamics of product's imports in kind to Italy by countries, 2018-2024, K unit
    3. 6.1.2.3. Structure of product's imports in kind by countries, 2018-2024
  3. 6.1.3. Imports in value, M $ US
    1. 6.1.3.1. Annual dynamics of product's imports to Italy in value, 2018-2024, M $ US
    2. 6.1.3.2. Dynamics of product's imports in value to Italy by countries, 2018-2024, M $ US
    3. 6.1.3.3. Structure of product's imports in value by countries, 2018-2024
  4. 6.1.4. Average price of product's imports, $ US/unit
    1. 6.1.4.1. Annual dynamics of average price of product's imports to Italy, 2018-2024, $ US/unit
    2. 6.1.4.2. Dynamics of average price of product's imports to Italy by countries, 2018-2024, $ US/unit
2. 6.2. Imports (Mirror Data)
  1. 6.2.1. Imports - Total information
  2. 6.2.2. Imports in kind, K unit
    1. 6.2.2.1. Annual dynamics of product's imports to Italy in kind, 2018-2024, K unit
    2. 6.2.2.2. Dynamics of product's imports in kind to Italy by countries, 2018-2024, K unit
    3. 6.2.2.3. Structure of product's imports in kind by countries, 2018-2024
  3. 6.2.3. Imports in value, M $ US
    1. 6.2.3.1. Annual dynamics of product's imports to Italy in value, 2018-2024, M $ US
    2. 6.2.3.2. Dynamics of product's imports in value to Italy by countries, 2018-2024, M $ US
    3. 6.2.3.3. Structure of product's imports in value by countries, 2018-2024
  4. 6.2.4. Average price of product's imports, $ US/unit
    1. 6.2.4.1. Annual dynamics of average price of product's imports to Italy, 2018-2024, $ US/unit
    2. 6.2.4.2. Dynamics of average price of product's imports to Italy by countries, 2018-2024, $ US/unit
7. Exports
1. 7.1. Exports (Direct Data)
  1. 7.1.1. Exports - Total information
  2. 7.1.2. Exports in kind, K unit
    1. 7.1.2.1. Annual dynamics of product's exports from Italy in kind, 2018-2024, K unit
    2. 7.1.2.2. Dynamics of product's exports in kind from Italy by countries, 2018-2024, K unit
    3. 7.1.2.3. Structure of product's exports in kind by countries, 2018-2024
  3. 7.1.3. Exports in value, M $ US
    1. 7.1.3.1. Annual dynamics of product's exports from Italy in value, 2018-2024, M $ US
    2. 7.1.3.2. Dynamics of product's exports in value from Italy by countries, 2018-2024, M $ US
    3. 7.1.3.3. Structure of product's exports in value by countries, 2018-2024
  4. 7.1.4. Average price of product's exports, $ US/unit
    1. 7.1.4.1. Annual dynamics of average price of product's exports from Italy, 2018-2024, $ US/unit
    2. 7.1.4.2. Dynamics of average price of product's exports from Italy by countries, 2018-2024, $ US/unit
2. 7.2. Exports (Mirror Data)
  1. 7.2.1. Exports - Total information
  2. 7.2.2. Exports in kind, K unit
    1. 7.2.2.1. Annual dynamics of product's exports from Italy in kind, 2018-2024, K unit
    2. 7.2.2.2. Dynamics of product's exports in kind from Italy by countries, 2018-2024, K unit
    3. 7.2.2.3. Structure of product's exports in kind by countries, 2018-2024
  3. 7.2.3. Exports in value, M $ US
    1. 7.2.3.1. Annual dynamics of product's exports from Italy in value, 2018-2024, M $ US
    2. 7.2.3.2. Dynamics of product's exports in value from Italy by countries, 2018-2024, M $ US
    3. 7.2.3.3. Structure of product's exports in value by countries, 2018-2024
  4. 7.2.4. Average price of product's exports, $ US/unit
    1. 7.2.4.1. Annual dynamics of average price of product's exports from Italy, 2018-2024, $ US/unit
    2. 7.2.4.2. Dynamics of average price of product's exports from Italy by countries, 2018-2024, $ US/unit
8. Trade balance
1. 8.1. Trade balance (Direct Data)
  1. 8.1.1. In kind, K unit
  2. 8.1.2. In value, M $ US
2. 8.2. Trade balance (Mirror Data)
  1. 8.2.1. In kind, K unit
  2. 8.2.2. In value, M $ US
9. Top buying and selling countries, 2018-2024
1. 9.1. Direct Data
  1. 9.1.1. Import in Value by Countries-buyers
  2. 9.1.2. Export in Value by Countries-suppliers
2. 9.2. Mirror Data
  1. 9.2.1. Import in Value by Countries-buyers
  2. 9.2.2. Export in Value by Countries-suppliers

Production pacemakers in Italy

In value, 2017-2020, K $ US

Annual dynamics of production in Italy in value, 2017-2020, K $ US

Parameter		2018	2019	2020	CAGR
1	Change from last year	n/a	n/a	n/a	-

Source: SHEV.io

In kind, 2017-2020, unit

Annual dynamics of production in Italy in kind, 2017-2020, unit

Parameter		2018	2019	2020	CAGR
1	Change from last year	n/a	n/a	n/a	-

Source: SHEV.io

Exports pacemakers from Italy

Exports in kind, unit

Italy exported 44 052 units of pacemakers in 2020, which represents a 33.0% decrease compared to the previous year. Over the period from 2017 to 2020, exports fell by 36.7%, with a compound annual growth rate of -14.1%. The largest increase occurred in 2019, at 5.2%.

Annual dynamics of product's exports from Italy in kind, 2017-2020, unit

Parameter		2018	2019	2020	CAGR
1	Change from last year	(10.3%)	5.2%	(33.0%)	(14.1%)

Source: SHEV.io

From 2017 to 2020, France, Japan, and Spain were the key partners for Italy's pacemaker exports in kind. France accounted for 40.3% of exports, Japan for 10.5%, and Spain for 9.4%, together making up 60.2% of total export flows.

Structure of product's exports in kind by countries, 2017-2020

Source: SHEV.io

World map of product's exports from Italy in kind, 2017-2020

Source: SHEV.io

Exports in value, M $ US

Italy's foreign pacemaker supplies declined for the third consecutive year. In 2020, export volume reached 72.6 million US dollars, reflecting a steep year-over-year fall of 26.4%. Between 2017 and 2020, exports decreased by 42%, equating to an annualized rate of -16.6%.

Annual dynamics of product's exports from Italy in value, 2017-2020, M $ US

Parameter		2018	2019	2020	CAGR
1	Change from last year	(8.7%)	(13.8%)	(26.4%)	(16.6%)

Source: SHEV.io

Over the 2017–2020 period, France, Japan, and Spain stood out as the main markets for Italy's pacemaker exports in value terms. France represented 51.6% of exports, Japan 14.7%, and Spain 8.2%, together accounting for 74.5% of total export flows.

Structure of product's exports in value by countries, 2017-2020

Source: SHEV.io

World map of product's exports from Italy in value, 2017-2020

Source: SHEV.io

Imports pacemakers to Italy

Imports in kind, unit

In 2020, pacemaker shipments to Italy from abroad amounted to 88 446 units, which is 9.7% less than in 2019. From 2017 to 2020, imports decreased by 4.7%, with a compound annual growth rate of -1.6%. The maximum value was recorded in 2019 at 97 948 units, with the largest increase that year at 6.3%.

Annual dynamics of product's imports to Italy in kind, 2017-2020, unit

Parameter		2018	2019	2020	CAGR
1	Change from last year	(0.7%)	6.3%	(9.7%)	(1.6%)

Source: SHEV.io

From 2017 to 2020, Germany, the Netherlands, and Belgium continued to be the top suppliers of pacemakers to Italy in kind. Germany accounted for 40.8% of imports, the Netherlands for 31.6%, and Belgium for 20.5%, jointly taking 92.9% of total imports.

Structure of product's imports in kind by countries, 2017-2020

Source: SHEV.io

World map of product's imports to Italy in kind, 2017-2020

Source: SHEV.io

Imports in value, M $ US

In 2020, Italy's pacemaker import volume registered 268.6 million US dollars, reflecting a small decline of 2.8% over the past year. Between 2017 and 2020, imports decreased by 20.4%, equating to an annualized rate of -7.3%. The minimum value was recorded in 2018 at 252.9 million US dollars, with the largest decline that year at 25.0%. The largest increase occurred in 2019 at 9.3%.

Annual dynamics of product's imports to Italy in value, 2017-2020, M $ US

Parameter		2018	2019	2020	CAGR
1	Change from last year	(25.0%)	9.3%	(2.8%)	(7.3%)

Source: SHEV.io

Throughout 2017–2020, Germany, the Netherlands, and Belgium remained the key directions for Italy's pacemaker imports in value terms. Germany represented 42.1% of imports, the Netherlands 33.3%, and Belgium 20.6%, together taking 96.0% of total import flows.

Structure of product's imports in value by countries, 2017-2020

Source: SHEV.io

World map of product's imports to Italy in value, 2017-2020

Source: SHEV.io