Heart Pacemaker Export Sales by Country

Heart pacemaker operation

Pacemaker operation

International sales from heart pacemakers exports by country totaled US$4.2 billion in 2018.

The worldwide value of exported heart pacemakers declined by an average -36% for all exporting countries since 2014 when shipments of heart pacemakers were valued at $6.6 billion. Year over year, the value of globally exported heart pacemakers dipped -10% from 2017 to 2018.

Among continents, Europe sold the highest dollar worth of exported heart pacemakers during 2018 with shipments valued at $3.7 billion or 87.6% of the global total. In second place were Asian exporters at 6.5% while 5.8% of overall pacemaker shipments originated from North America. Smaller percentages came from shippers in Latin America (0.1%) excluding Mexico but including the Caribbean, Oceania (0.1%) led by Australia, then Africa (0.01%).

The 6-digit Harmonized Tariff System code prefix is 902150 for pacemakers that stimulate heart muscles, excluding parts and accessories.

Heart Pacemaker Export Sales by Country


Below are the 15 countries that exported the highest dollar value worth of heart pacemakers during 2018.

  1. Ireland: US$1.2 billion (27.6% of exported pacemakers)
  2. Germany: $712.4 million (17%)
  3. Switzerland: $582.8 million (13.9%)
  4. Belgium: $521.5 million (12.4%)
  5. Netherlands: $328.9 million (7.8%)
  6. United States: $242 million (5.8%)
  7. France: $230 million (5.5%)
  8. Malaysia: $141.3 million (3.4%)
  9. Singapore: $115.2 million (2.7%)
  10. Italy: $114.7 million (2.7%)
  11. China: $7.03 million (0.2%)
  12. United Kingdom: $7.02 million (0.2%)
  13. Spain: $5.1 million (0.1%)
  14. Lithuania: $3.8 million (0.1%)
  15. Latvia: $2.5 million (0.1%)

By value, the listed 15 countries shipped 99.4% of globally exported heart pacemakers in 2018.

Among the top exporters, the fastest-growing pacemakers exporters since 2014 were: China (up 1,491.2%), Latvia (up 222.9%), Lithuania (up 38.6%) and Singapore (up 9.2%).

Those countries that posted declines in their exported pacemakers sales were led by: France (down -66.7%), Netherlands (down -56.4%), Switzerland (down -53.5%), United States (down -40%) and United Kingdom (down -35.5%).


The following countries posted the highest positive net exports for heart pacemakers during 2018. Investopedia defines net exports as the value of a country’s total exports minus the value of its total imports. Thus, the statistics below present the surplus between the value of each country’s exported heart pacemakers and its import purchases for that same commodity.

  1. Ireland: US$1.1 billion (net export surplus down -30% since 2014)
  2. Switzerland: $535.1 million (down -55%)
  3. Germany: $359.6 million (up 1741.2%)
  4. Belgium: $154.9 million (down -56.1%)
  5. Malaysia: $137.3 million (down -4.1%)
  6. Singapore: $101.1 million (up 29.1%)
  7. Uruguay: $962,000 (reversing a -$1.4 million deficit)
  8. US Minor Outlying Islands: $77,000 (no 2014 data)
  9. Saint Helena: $48,000 (no 2014 data)

Overtaking Switzerland in 2017, Ireland also posted the highest surplus in the international trade of heart pacemakers in 2018. In turn, this positive cashflow confirms Ireland’s strong competitive advantage for this specific product category.


The following countries posted the highest negative net exports for heart pacemakers during 2018. Investopedia defines net exports as the value of a country’s total exports minus the value of its total imports. Thus, the statistics below present the deficit between the value of each country’s imported heart pacemaker purchases and its exports for that same commodity.

  1. United States: -US$510.6 million (net export deficit down -17.3% since 2014)
  2. Japan: -$343.3 million (up 0.9%)
  3. France: -$281.9 million (down -15.3%)
  4. Italy: -$162.2 million (down -36.1%)
  5. China: -$154.3 million (up 9.8%)
  6. United Kingdom: -$152.5 million (down -32.7%)
  7. Netherlands: -$87.8 million (up 98.7%)
  8. Australia: -$86.1 million (down -56.9%)
  9. Spain: -$83.3 million (down -41.7%)
  10. Canada: -$49.8 million (down -58.4%)
  11. Czech Republic: -$37.8 million (down -36.6%)
  12. Poland: -$37.6 million (down -17.4%)
  13. India: -$30 million (up 42.6%)
  14. Portugal: -$26.4 million (down -24.5%)
  15. South Korea: -$25.8 million (up 46%)

The United States of America incurred the highest deficit in the international trade of heart pacemakers. In turn, this negative cashflow highlights America’s strong competitive disadvantage for this specific product category but also signals opportunities for heart pacemaker-supplying countries that help satisfy the powerful demand from American consumers.


Heart Pacemaker Exporting Companies

Below are global heart pacemaker-processing conglomerates that represent established players engaged in the international trade of heart pacemaker equipment. The home country for each country is shown within parenthesis.

  • Biotronik (United States)
  • Cardiac Pacemakers, Inc (United States)
  • Guidant Corporation (United States)
  • Medtronic (United States)
  • St. Jude Medical (United States)

According to global trading platform Alibaba, the following suppliers are examples of heart pacemaker-trading exporters. The home-country location for each business is shown within parentheses:

  • Dongguan Lei Bao Electronic Co Ltd (China)
  • Dragon Medical Equipment ZJG Co Ltd (China)
  • DSA Exports (India)
  • Life Support Systems (India)
  • Perlong Medical Equipment Co Ltd (China)
  • Shenzhen HTWY Technology Co Ltd (China)


Searchable List of Pacemaker Exporting Countries in 2018

You can change the presentation order by clicking the triangle icon at the top of the columns.

RankExporterPacemakers Exports (US$)%World Total
1.Ireland$1.2 billion27.6%
2.Germany$712.4 million17%
3.Switzerland$582.8 million13.9%
4.Belgium$521.5 million12.4%
5.Netherlands$328.9 million7.8%
6.United States$242 million5.8%
7.France$230 million5.5%
8.Malaysia$141.3 million3.4%
9.Singapore$115.2 million2.7%
10.Italy$114.7 million2.7%
11.China$7.03 million0.2%
12.United Kingdom$7.02 million0.2%
13.Spain$5.1 million0.1%
14.Lithuania$3.8 million0.1%
15.Latvia$2.5 million0.1%
16.Uruguay$2.4 million0.1%
17.Australia$2.3 million0.1%
18.Hong Kong$2 million0.05%
19.India$1.8 million0.04%
20.Slovakia$1.6 million0.04%
21.Turkey$1.4 million0.03%
22.Russia$1.1 million0.03%
23.Greece$1.1 million0.03%
25.South Korea$988,0000.02%
26.Dominican Republic$837,0000.02%
28.US Minor Outlying Is$744,0000.02%
34.Czech Republic$327,0000.01%
35.South Africa$306,0000.01%
44.United Arab Emirates$154,0000.004%
50.Costa Rica$85,0000.002%
52.El Salvador$54,0000.001%
53.Saint Helena$48,0000.001%
55.New Zealand$34,0000.001%
67.North Macedonia$6,0000.0001%
70.New Caledonia$6,0000.0001%
76.Saudi Arabia$1,0000.00002%

See also Hearing Aids Importers by Country, Top Artificial Joints Exporters by Country, Top Surveying Equipment Exporters by Country and Top Industrial Robots Exporters

Research Sources:
Alibaba, Supplier showroom for heart pacemaker. Accessed on July 26, 2017

Forbes Global 2000 rankings, The World’s Biggest Public Companies. Accessed on May 31, 2019

Investopedia, Net Exports Definition. Accessed on May 31, 2019

The World Factbook, Field Listing: Exports – Commodities, Central Intelligence Agency. Accessed on May 31, 2019

Trade Map, International Trade Centre. Accessed on May 31, 2019

Wikipedia, Cardiac pacemaker. Accessed on July 26, 2017