Pacemakers market in Russia

Earlier Report Observations

The Russian pacemaker market began the period at a high level of 39.6 thousand units in 2018, supported by a growing incidence of cardiovascular diseases and the launch of state support for import substitution in the medical device sector. However, the market contracted significantly the following year to 24.1 thousand units. In 2020, demand for pacemakers was bolstered by complications from the COVID-19 pandemic, which helped the market recover to 38.7 thousand units despite the introduction of a new product traceability and labeling system. Market volume remained relatively stable in 2021 at 38.0 thousand units as pandemic-related supply constraints and increased sanctions pressure continued to influence the sector.

A major market expansion occurred in 2022, with volume jumping to 52.3 thousand units. This surge was driven by the removal of COVID-19 restrictions, which facilitated a 43% increase in domestic production, and sustained demand growth linked to cardiovascular health concerns. In the subsequent years through 2024, the market saw a slight moderation. Regulatory changes, including stricter requirements for product labeling and online advertising as well as new rules governing marketplaces, affected distribution channels. Despite this, domestic production continued its upward trend, supported by sustained state investment and import substitution policies, reaching 8.3 thousand units in 2025.

Production pacemakers in Russia

In kind, 2018-2021, unit

Russia's pacemaker production declined for the third consecutive year. In 2021, 5,329 units were produced, marking a 32.4% decrease compared to the previous year. From 2018 to 2021, production fell by 51%, with an average annual decline of 21.2%.

Annual dynamics of production in Russia in kind, 2018-2021, unit

Exports pacemakers from Russia

Exports in kind, unit

The market exhibited significant volatility during this period. In 2019, exports reached their lowest point at 144 units, representing a 90.4% decline. The following year, 2020, saw the largest increase at 736.8%. By 2021, foreign pacemaker supplies from Russia amounted to 1,336 units, showing a robust 10.9% gain from the previous year. The peak-to-trough amplitude from 2018 to 2019 was 10.4 times.

Annual dynamics of product's exports from Russia in kind, 2018-2021, unit

From 2018 to 2021, the Netherlands, Ukraine, and Kazakhstan were the top destinations for Russia's pacemaker exports in kind. The Netherlands accounted for 38.0% of exports, Ukraine for 18.1%, and Kazakhstan for 16.1%. Together, these three countries comprised 72.2% of total export flows.

Structure of product's exports in kind by countries, 2018-2021

World map of product's exports from Russia in kind, 2018-2021

Exports in value, K $ US

The market displayed volatility over the observed period. In 2019, exports in value terms hit their lowest point at 333,000 US dollars, with a 71.0% decline. The largest increase occurred in 2020 at 44.8%. By 2021, Russia's pacemaker export volume reached 575,000 US dollars, constituting a substantial 19.2% gain relative to the prior year. Import levels fluctuated 3.4 times between the high of 2018 and the low of 2019.

Annual dynamics of product's exports from Russia in value, 2018-2021, K $ US

Between 2018 and 2021, the Netherlands, Ukraine, and Uzbekistan were the primary markets for Russia's pacemaker exports in value terms. The Netherlands accounted for 55.4% of exports, Ukraine for 19.7%, and Uzbekistan for 11.9%. Collectively, these three countries absorbed 87.0% of total export value, making them the main directions.

Structure of product's exports in value by countries, 2018-2021

World map of product's exports from Russia in value, 2018-2021

Imports pacemakers to Russia

Imports in kind, unit

The market showed signs of volatility during this period. In 2019, imports in kind dropped to a minimum of 15,752 units, with a 46.9% decline. The largest increase was recorded in 2020 at 98.6%. By 2021, pacemaker volumes imported by Russia came to 33,187 units, indicating a modest 6.1% gain from 2020. Overall, volumes shifted 2.1-fold between the minimum in 2019 and the maximum in 2021.

Annual dynamics of product's imports to Russia in kind, 2018-2021, unit

From 2018 to 2021, Singapore, Germany, and Ireland led as the top suppliers of pacemakers to Russia in kind. Singapore accounted for 46.1% of imports, while Germany and Ireland each contributed 13.8%. Their combined share reached 73.6% of total imports in kind.

Structure of product's imports in kind by countries, 2018-2021

World map of product's imports to Russia in kind, 2018-2021

Imports in value, K $ US

After a two-year decline, foreign pacemaker supplies to Russia increased in 2021. Russia imported a total of 22,594,000 US dollars worth of pacemakers, which is 15.6% more than in 2020. The minimum value was recorded in 2020 at 19,542,000 US dollars, with a 25.1% decline. From 2018 to 2021, imports decreased by 15.5%, with an average annual decline of 5.5%.

Annual dynamics of product's imports to Russia in value, 2018-2021, K $ US

Throughout 2018 to 2021, Singapore, Ireland, and Italy remained the main sources for pacemaker imports to Russia in value terms. Singapore accounted for 35.9% of imports, Ireland for 17.9%, and Italy for 15.3%. Together, these three countries jointly took 69.1% of total import flows.

Structure of product's imports in value by countries, 2018-2021

World map of product's imports to Russia in value, 2018-2021