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Report Overview

The heart failure market was valued at USD 6.81 Billion in 2025 and is expected to grow at a CAGR of 7.80% during the forecast period of 2026-2035 and attain a market value of USD 14.43 Billion by 2035. The market is driven by the rising global prevalence of cardiovascular diseases, aging populations, improved diagnostic rates, and expanding adoption of novel heart failure therapies.

Key Market Trends and Insights

  • Based on types, the heart failure with reduced ejection fraction (HFrEF) segment held the largest share of approximately 58% in the historical period.
  • Based on treatment type, the drugs segment held the largest share of 63% in the historical period.
  • Based on end user, hospitals held the largest share of 45% in the historical period.

Market Size and Forecast

  • Market Size (2025): USD 6.81 Billion
  • Projected Market Size (2035): USD 14.43 Billion
  • CAGR (2026-2035): 7.80%
2025

Base Year

2019-2025

Historical Period

2026-2035

Forecast Period

  • In January 2026, Japan’s Ministry of Health approved finerenone for HFpEF, strengthening Asia-Pacific commercialization momentum in advanced heart failure therapeutics.

  • In April 2025, a global roundtable led by the Heart Failure Society of America advanced standardized, multidisciplinary heart failure care frameworks across major markets.

  • In September 2025, Medtronic initiated and began global enrollment for the ELEVATE-HFpEF trial, expanding device-based innovation in underserved HFpEF populations.

Compound Annual Growth Rate

7.8%

Value in USD Billion

2026-2035


*this image is indicative*

Heart Failure Market Overview

Heart failure is a complex cardiovascular condition marked by reduced cardiac output and fluid retention, leading to significant morbidity worldwide. The rising rates of hypertension, diabetes, and ischemic heart disease are poised to influence market demand. The market is anticipated to grow at a CAGR of 7.80% during the forecast period of 2026-2035, driven by the increasing prevalence of cardiometabolic disorders and rising healthcare awareness. Innovations in pharmacotherapies, minimally invasive devices, and digital monitoring tools are likely to impact patient management. Growing clinical awareness and evolving guideline recommendations could further affect adoption trends and market dynamics.

Heart Failure Market Growth Driver

Rising Cardiovascular Prevalence and High Rehospitalization Rates Fueling the Market Demand

The increasing global prevalence of cardiovascular diseases and persistently high rehospitalization rates are major drivers accelerating the market. According to the World Heart Federation, approximately 26 million people are diagnosed with heart failure worldwide, with an additional 11.7 million undiagnosed cases, bringing the total burden to nearly 37.7 million individuals. Furthermore, 1 in 5 people has a lifetime risk of developing heart failure. Nearly 50% of patients are readmitted within six months, and the five-year mortality rate ranges from 45-60%. These factors are increasing demand for innovative therapeutics and long-term disease management solutions, thereby supporting sustained market expansion.

Heart Failure Market Trends

The market is experiencing notable trends, including regulatory expansion in HFpEF therapies, growing global collaboration, and increasing device-based innovation.

Regulatory Expansion and Targeted HFpEF Developments Reshaping the Market Landscape

The increasing regulatory support for novel cardiovascular therapies and rising unmet needs in HFpEF populations are accelerating innovation in the market. For instance, in August 2024, Bayer reported positive results from the Phase III FINEARTS-HF trial evaluating finerenone in patients with heart failure and left ventricular ejection fraction ≥40%. The study demonstrated a significant reduction in cardiovascular death and heart failure events, supporting the potential expansion of targeted pharmacotherapies beyond traditional HFrEF treatment frameworks. Such late-stage clinical advancements highlight the growing therapeutic pipeline in HFpEF and are expected to enhance treatment options, drive competitive differentiation, and support long-term market expansion.

Global Healthcare System Optimization and Collaborative Innovation Expected to Propel the Heart Failure Market Expansion

Increasing international clinical collaboration and growing demand for standardized, guideline-directed care models are emerging as a defining trend in the heart failure market. In April 2025, a global roundtable organized by the Heart Failure Society of America and published in the International Journal of Heart Failure brought together experts from the United Kingdom, Italy, Japan, and India to address gaps in heart failure management. The initiative emphasized multidisciplinary care integration, improved registry infrastructure, and early therapeutic optimization, signaling a strategic shift toward coordinated, data-driven heart failure management across major healthcare systems.

Advancements and Ongoing Global Trial Enrollment to Boost the Heart Failure Market Innovation

Rising unmet therapeutic needs in HFpEF populations and growing investment in device-based cardiovascular innovation are accelerating evolution within the heart failure market. In September 2025, Medtronic initiated the global pivotal ELEVATE-HFpEF study evaluating personalized elevated cardiac pacing in this underserved patient segment. The randomized trial began enrollment in July 2025 and remains actively recruiting as of February 2026, targeting up to 700 participants worldwide. This ongoing investigation signals a potential expansion of device-indicated heart failure management beyond traditional pharmacotherapy-driven treatment pathways.

Japanese Regulatory Advancement and HFpEF Therapeutic Diversification Accelerating Heart Failure Market Penetration

The rising demand for evidence-based HFpEF therapies and expanding regulatory approvals across developed Asian economies are strengthening competitive dynamics in the heart failure market. In January 2026, Japan’s Ministry of Health, Labor and Welfare approved finerenone for adults with chronic heart failure and left ventricular ejection fraction (LVEF) ≥40%, broadening treatment options beyond its earlier renal indications. Supported by positive Phase III clinical outcomes, this approval reflects Japan’s proactive adoption of next-generation cardiovascular pharmacotherapies and signals increasing commercialization opportunities within the Asia-Pacific heart failure treatment landscape.

Heart Failure Market Share

Hospitals Expected to Lead the Market Share by End User

Hospitals are expected to lead the market, accounting for approximately 45% of the total market share. Their dominance is driven by the high volume of acute and chronic heart failure cases managed in inpatient settings, availability of advanced diagnostic and monitoring technologies, and capacity to implement guideline-directed therapies such as quadruple therapy for HFrEF and specialized HFpEF care. In addition, hospitals benefit from integrated cardiac care programs, well-established reimbursement frameworks, and growing adoption of remote monitoring and telehealth services, reinforcing their pivotal role in the heart failure treatment landscape.

Heart Failure Market Analysis by Region

The United States is expected to maintain market leadership, driven by one of the largest heart failure patient populations globally and a well-established healthcare infrastructure. For instance, in June 2025, the American College of Cardiology reported that approximately 6.7 million Americans were living with heart failure, with over 50% of cases attributed to HFpEF, and a 20-29% one-year mortality rate. The dominance is further supported by the rising prevalence of chronic cardiovascular conditions, increasing adoption of guideline-directed therapies, and expanding hospital-based treatment capacities.

Leading Players in the Heart Failure Market

The key features of the market report include clinical trials and pipeline analysis, patent analysis, funding and investment analysis, as well as strategic initiatives by leading players. The major companies in the market are as follows:

Novartis AG

Swiss pharmaceutical giant Novartis, founded in 1996 and headquartered in Basel, focuses on innovative medicines worldwide. In the heart failure market, its flagship product is Entresto (sacubitril/valsartan), a breakthrough ARNI therapy that reduces hospitalization and cardiovascular death in patients with heart failure with reduced ejection fraction. Entresto remains a leading therapy globally, though facing rising generic competition, while Novartis pursues next‑generation HF treatments and expanded indications.

AstraZeneca plc

AstraZeneca plc, established in 1999 and headquartered in Cambridge, UK, has become a major cardiovascular player. Its heart failure portfolio centers on the SGLT2 inhibitor Farxiga (dapagliflozin), approved to reduce cardiovascular death and hospitalizations in adults with symptomatic chronic heart failure across a broad range of ejection fractions. AstraZeneca continues to expand HF indications and explore novel targets like aldosterone modulation to complement Farxiga’s differentiated benefits.

Bayer AG

German multinational Bayer AG, founded in 1863 and based in Leverkusen, operates in pharmaceuticals, consumer health, and crop science. In heart failure, Bayer contributes through cardiovascular treatments including vericiguat (marketed as Verquvo in collaboration with Merck & Co.) for reducing hospitalization risk and other therapies addressing underlying cardiovascular dysfunction. The company also invests in real‑world evidence and collaborations to enhance clinical outcomes and expand its heart failure treatment reach worldwide.

Medtronic plc

Medtronic plc, founded in 1949 and headquartered in Dublin, Ireland (operationally Minneapolis, Minnesota, US), is a leader in medical devices rather than drugs. Its heart failure portfolio includes cardiac resynchronization therapy (CRT) devices (CRT‑D/CRT‑P) and advanced implantable systems that improve cardiac pumping and reduce symptoms in select HF patients. Medtronic also develops remote monitoring and pacing technologies to personalize heart failure care and is advancing pivotal research in pacing strategies for preserved ejection fraction heart failure.

*Please note that this is only a partial list; the complete list of key players is available in the full report. Additionally, the list of key players can be customized to better suit your needs.*

Other key players in the market include Eli Lilly and Company, GSK plc, Abbott, Otsuka Pharmaceutical Co., Ltd., BIOTRONIK SE & Co. KG, and Boston Scientific Corporation.

Heart Failure Market Segmentation

The market report offers a detailed analysis of the market based on the following segments:

Market Breakup by Types

  • Chronic Heart Failure
  • Acute Heart Failure
  • Systolic vs. Diastolic Heart Failure
  • Heart Failure with Reduced Ejection Fraction (HFrEF)
  • Heart Failure with Preserved Ejection Fraction (HFpEF)
  • Others

Market Breakup by Treatment Type

  • Drugs
    • ACE Inhibitors
    • Beta Blockers
    • Diuretics
    • Angiotensin II Receptor Blockers (ARBs)
    • SGLT2 Inhibitors
    • Others
  • Medical Devices
    • Implantable Cardioverter Defibrillators (ICDs)
    • Pacemakers
    • Intra-Aortic Balloon Pumps (IABPs)
    • Others

Market Breakup by End User

  • Hospitals
  • Specialty Clinics
  • Ambulatory Surgical Centers
  • Home Healthcare Programs
  • Academic and Research Institutes
  • Others

Market Breakup by Country

  • United States
  • United Kingdom
  • Germany
  • France
  • Italy
  • Spain
  • Japan
  • India

Key Questions Answered in the Heart Failure Market Report

  • What was the heart failure market value in 2025?
  • What is the heart failure market forecast outlook for 2026-2035?
  • What are the major factors aiding the heart failure market demand?
  • How has the market performed so far, and how is it anticipated to perform in the coming years?
  • What are the market's major drivers, opportunities, and restraints?
  • What are the major heart failure market trends?
  • Which types are expected to dominate the market segment?
  • Which treatment type is projected to lead the market segment?
  • Which end user is likely to dominate the market segment?
  • Who are the key players involved in the heart failure market?
  • What are the current unmet needs and challenges in the market?
  • How are partnerships, collaborations, mergers, and acquisitions among the key market players shaping the market dynamics?

*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*

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Report Summary

Explore our key highlights of the report and gain a concise overview of key findings, trends, and actionable insights that will empower your strategic decisions.

Key Highlights of the Report

Please note that the figures mentioned in the description serve as estimates and may vary from the actual figures presented in the final report.

REPORT FEATURES DETAILS
Base Year 2025
Historical Period 2019-2025
Forecast Period 2026-2035
Scope of the Report

Historical and Forecast Trends, Industry Drivers and Constraints, Historical and Forecast Market Analysis by Segment:

  • Types
  • Treatment Type
  • End User
  • Region
Breakup by Types
  • Chronic Heart Failure
  • Acute Heart Failure
  • Systolic vs. Diastolic Heart Failure
  • Heart Failure with Reduced Ejection Fraction (HFrEF)
  • Heart Failure with Preserved Ejection Fraction (HFpEF)
  • Others
Breakup by Treatment Type
  • Drugs
  • Medical Devices
Breakup by End User
  • Hospitals
  • Specialty Clinics
  • Ambulatory Surgical Centres
  • Home Healthcare Programs
  • Academic & Research Institutes
  • Others
Breakup by Region
  • United States
  • United Kingdom
  • Germany
  • France
  • Italy
  • Spain
  • Japan
  • India
Market Dynamics
  • Market Drivers and Constraints
  • SWOT Analysis
  • PESTEL Analysis
  • Porter’s Five Forces Model 
  • Key Demand Indicators
  • Key Price Indicators
  • Industry Events, Initiatives, and Trends 
  • Value Chain Analysis
Supplier Landscape
  • Market Structure
  • Company Profiles
    • Financial Analysis
    • Product Portfolio
    • Demographic Reach and Achievements
    • Company News and Developments
    • Certifications
Companies Covered
  • Novartis AG
  • AstraZeneca plc
  • Bayer AG
  • Medtronic plc
  • Eli Lilly and Company
  • GSK plc
  • Abbott
  • Boston Scientific Corporation
  • Otsuka Pharmaceutical Co., Ltd.
  • BIOTRONIK SE & Co. KG

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