U.S. External Counterpulsation Devices Market Size, Share & Trends Analysis Report By Product (Pneumatic ECP Devices, Electrocardiogram (ECG)-Synchronized), By End-use (Hospitals, Cardiac Centers),-Industry Analysis, Size, Share, Growth, Trends, and Forecast 2025-2034

U.S. External Counterpulsation Devices Market Size and Trends

The U.S. external counterpulsation devices market size was exhibited at USD 177.59 million in 2024 and is projected to hit around USD 372.88 million by 2034, growing at a CAGR of 7.7% during the forecast period 2025 to 2034.

U.S. External Counterpulsation Devices Market Key Takeaways:

• In 2024, the pneumatic ECP devices segment held a dominant the market with a share of 35.68%.
• The Enhanced External Counterpulsation (EECP) devices segment is expected to exhibit the highest CAGR during the forecast period.
• The hospital segment dominated the market with a share of 36.0% in 2024
• The cardiac center segment is anticipated to witness the highest CAGR of 8.5% during the forecast period.

Report Scope of U.S. External Counterpulsation Devices Market

The escalating prevalence of cardiovascular diseases, including angina, heart failure, and coronary artery disease, fuels the demand for non-invasive solutions like external counterpulsation (ECP) devices. These devices employ external pressure on the lower extremities through inflatable cuffs around the calves, thighs, and buttocks. By carefully inflating and deflating these cuffs, blood vessels experience increased resistance, promoting enhanced blood flow and circulation. The efficacy of this non-invasive method has garnered significant attention in effectively addressing various cardiovascular conditions.

According to data provided by the British Heart Foundation, approximately 620 million individuals worldwide are affected by heart and circulatory diseases. In the U.S. alone, an estimated 6.4 million patients endure coronary artery disease, with around 40,000 new cases annually.

The increasing awareness of the benefits of ECP therapy is propelling market growth in the medical devices sector. ECP therapy's non-invasiveness and potential to improve patient's well-being make it a highly appealing treatment option for cardiovascular conditions. Moreover, favorable reimbursement policies in certain regions positively influence the market outlook, prompting both healthcare professionals and patients to consider ECP therapy a viable choice.

However, the COVID-19 pandemic significantly impacted the ECP device market, causing disruptions in production, supply chains, and distribution networks. The focus on managing COVID-19 patients led to a temporary decline in ECP therapy adoption and the postponement of non-urgent treatments. Nevertheless, as healthcare systems stabilize, there is an expected resurgence in demand for ECP devices.

Furthermore, the continuous need for non-invasive cardiovascular treatment options is projected to drive this increase in demand. For instance, the American College of Cardiology recognizes Enhanced External Counterpulsation (EECP) as a potential treatment for long COVID. This endorsement provides hope to individuals experiencing prolonged symptoms and underscores the ongoing relevance of ECP therapy in addressing cardiovascular health.

U.S. External Counterpulsation Devices Market By Product Insights

In 2024, the pneumatic ECP devices segment held a dominant the market with a share of 35.68%. These devices utilize air pressure to enhance blood flow to the heart. They have gained traction due to their proven effectiveness in reducing symptoms in angina and refractory angina pectoris patients. Their non-invasive nature and cost-effectiveness make them appealing to patients and healthcare providers, driving increased demand. The rising prevalence of cardiovascular diseases fuels the growth of the pneumatic ECP devices segment. In addition, ongoing technological advancements further contribute to its market expansion, making it a promising therapeutic option for cardiac patients.

The Enhanced External Counterpulsation (EECP) devices segment is expected to exhibit the highest CAGR during the forecast period. The growth is attributed to its demonstrated effectiveness in improving cardiac function and coronary circulation, making it a preferred choice for treating cardiovascular conditions. The non-invasive and safe nature of EECP therapy attracts patients seeking alternative treatments.

Moreover, continuous technological advancements and increasing clinical evidence position EECP Devices to meet the growing demand for effective non-invasive cardiovascular treatments. According to a study by the American College of Cardiology Foundation (published on February 14, 2024), long-term COVID-19 patients with and without coronary artery disease experienced significant improvement in symptoms after receiving 15–35 hours of EECP therapy.

U.S. External Counterpulsation Devices Market By End-use Insights

Based on end-use, the U.S. ECP devices market is classified into hospitals and cardiac centers & clinics. The hospital segment dominated the market with a share of 36.0% in 2024 Hospitals dominate the ECP devices market due to their larger patient volumes, specialized care for cardiovascular diseases, and access to advanced resources and technologies.

Moreover, with comprehensive treatment options provided by experienced medical professionals, hospitals are the preferred choice for patients seeking ECP therapy. The adoption of ECP therapy, particularly for managing congestive heart failure, exemplifies hospitals' dominance, supported by dedicated cardiology departments and intensive care units. As cardiovascular diseases continue to rise, the demand for ECP devices in hospitals is expected to reinforce their market dominance.

The cardiac center segment is anticipated to witness the highest CAGR of 8.5% during the forecast period. Cardiac centers are specialized healthcare facilities dedicated to the diagnosis and treatment of cardiovascular conditions. They often have advanced medical equipment, specialized staff, and expertise in managing cardiac diseases, including the implementation of ECP therapy.Additionally, as the awareness and recognition of ECP therapy's benefits continue to grow, cardiac centers are increasingly incorporating ECP devices into their treatment protocols. This trend is driven by the effectiveness of ECP therapy in managing various cardiovascular conditions, such as angina and heart failure.

Some of the prominent players in the U.S. external counterpulsation devices market include:

• Vaso Corporation
• ACS Diagnostics
• Scottcare Corporation
• Cardiomedics Inc

Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2034. For this study, Nova one advisor, Inc. has segmented the U.S. external counterpulsation devices market

By Product

• Pneumatic ECP Devices
• Electrocardiogram (ECG)-Synchronized ECP Devices
• Enhanced External Counterpulsation (EECP) Devices

By End-use

• Hospitals
• Cardiac Centers