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Cardiopulmonary Exercise Testing Market Size

ID: MRFR//5163-CR | 128 Pages | Author: Rahul Gotadki| January 2024

The cardiopulmonary exercise testing (CPET) market is influenced by various factors that shape its growth and dynamics. Firstly, the increasing prevalence of cardiovascular and respiratory diseases drives demand for diagnostic tools and procedures such as CPET. As the incidence of conditions such as heart failure, chronic obstructive pulmonary disease (COPD), and pulmonary hypertension continues to rise globally, there's a growing need for accurate and comprehensive assessments of cardiopulmonary function. CPET provides valuable insights into cardiovascular and respiratory performance during exercise, aiding in the diagnosis, prognosis, and management of these conditions.

Moreover, advancements in medical technology play a crucial role in driving market expansion. As CPET systems become more sophisticated and user-friendly, healthcare providers can perform comprehensive cardiopulmonary assessments with greater accuracy and efficiency. Innovations such as portable CPET devices, integrated software platforms, and wireless connectivity enhance the accessibility and usability of CPET systems, allowing for broader adoption in various clinical settings.

Furthermore, regulatory factors influence the CPET market landscape. Regulatory agencies such as the FDA (Food and Drug Administration) in the United States and the European Medicines Agency (EMA) in Europe impose regulations on medical devices and diagnostic tests to ensure safety, efficacy, and quality. Compliance with regulatory standards is essential for manufacturers to obtain market approval and maintain consumer trust in the accuracy and reliability of CPET systems. Changes in regulations or the introduction of new standards may impact market dynamics by affecting product development timelines and market entry strategies.

Additionally, market competition drives innovation and influences pricing strategies within the CPET market. With numerous companies competing in the market, there's a constant push for the development of more advanced CPET systems with enhanced features and functionalities. Manufacturers strive to differentiate their products through factors such as accuracy, user-friendliness, data integration capabilities, and affordability. Price competition also plays a significant role in market dynamics, with manufacturers balancing product quality and pricing to remain competitive while maximizing profitability.

Moreover, demographic trends such as aging populations and increasing healthcare awareness impact market demand for CPET services. As populations age, the prevalence of cardiovascular and respiratory diseases increases, leading to a greater need for diagnostic assessments such as CPET. Older adults are more susceptible to conditions such as heart failure and COPD, which require thorough cardiopulmonary evaluations for proper management and treatment planning. Additionally, increasing healthcare awareness and patient education initiatives contribute to greater recognition of the importance of CPET in cardiovascular and respiratory health assessment.

Furthermore, economic factors such as healthcare expenditure and insurance coverage influence market dynamics and consumer access to CPET services. Countries with higher healthcare spending and better insurance coverage tend to have higher adoption rates of advanced diagnostic tests and procedures, including CPET. Economic downturns or fluctuations in disposable income levels may impact consumer purchasing decisions, leading to shifts in demand for healthcare-related products and services, including CPET.

Additionally, technological advancements in CPET interpretation and data analysis drive market growth and adoption. Integrated software platforms and cloud-based solutions enable healthcare providers to analyze CPET data more efficiently and derive meaningful insights for clinical decision-making. Machine learning algorithms and artificial intelligence (AI) applications offer opportunities for predictive analytics and personalized treatment recommendations based on CPET results, further enhancing the clinical utility of CPET in cardiovascular and respiratory care.

Lastly, public health initiatives and government policies promoting cardiovascular and respiratory health awareness contribute to market expansion. Governments and healthcare organizations worldwide are increasingly investing in preventive healthcare programs, disease screening initiatives, and patient education campaigns to raise awareness about cardiovascular and respiratory diseases and their risk factors. CPET plays a crucial role in these initiatives by providing objective assessments of cardiopulmonary function and helping identify individuals at risk for cardiovascular and respiratory conditions.

Covered Aspects:

Report Attribute/Metric Details

Global Cardiopulmonary Exercise Testing Market Overview


Cardiopulmonary Exercise Testing Market size was valued at USD 0.9 billion in 2023. The Cardiopulmonary Exercise Testing Market industry is projected to grow from USD 0.96 billion in 2024 to USD 1.7 billion by 2032, exhibiting a compound annual growth rate (CAGR) of 7.33% during the forecast period (2024 - 2032).


The factors contributing to the growth of the market are increase in the prevalence of cardiovascular diseases and a rising geriatric population.


Cardiopulmonary Exercise Testing Market1


Source: Secondary Research, Primary Research, MRFR Database and Analyst Review


Cardiopulmonary Exercise Testing Market Trends



  •  Growing Prevalence of Cardiovascular Diseases


The growing prevalence of cardiovascular diseases such as heart failure, and pulmonary hypertension among others across the globe is driving the growth of the cardiopulmonary exercise testing market. Cardiopulmonary exercise testing provides valuable diagnostic information and helps in determining exercise capacity and functional limitations in patients with these conditions. According to the article published by National Center for Biotechnology Information in June 2022, the test can provide both cardiac and pulmonary disease processes, while aiding in the development of individualized therapy and rehabilitation programs. Moreover, the increasing prevalence of cardiovascular diseases can be attributed to various factors, including aging populations, sedentary lifestyles, smoking, air pollution, and unhealthy diets. As these diseases progress, they lead to functional limitations, reduced exercise tolerance, and impaired cardiopulmonary fitness. In this context.


The geriatric population is more prone to chronic diseases and adults aged 65 and older are more likely than younger people to suffer from cardiovascular disease. Aging can also cause a risk of developing cardiovascular disease. Thus, the increasing population of this section of people can also increase the demand for cardiopulmonary exercise testing to assess an individual's cardiovascular and respiratory functions. For instance, according to the UN, by 2050, 1 in 6 people around the globe will be over the age of 65, up from 1 in 11 in 2023. According to the Rural Health Information Hub, in the US, the number of older adults aged 65 and older is expected to grow to almost 90 million by 2050. In addition, by 2030, 1 in 5 Americans is projected to be 65 years old or over.


Therefore, the growing prevalence of cardiovascular diseases and other chronic diseases and increasing applications of radioisotopes in the healthcare industry are fueling market growth.


Cardiopulmonary Exercise Testing Market Segment Insights


Cardiopulmonary Exercise Testing Product Type Insights


Based on product type, the Cardiopulmonary Exercise Testing Market has been segmented into CPET metabolic carts and software. The CPET metabolic carts segment dominated the market in 2022, while the software segment is projected to be the fastest-growing during the forecast period, 2023–2030. The segment growth has been driven through factor includes rising prevalence of cardiovascular disease, growing R&D studies, and increasing healthcare expenditure. For instance, COSMED Srl (Italy) launched the 2° generation of OMNIA 2.1 Software, to help clinicians, researchers, and health professionals to provide the highest standard of data management. This is the most comprehensive data management platform for metabolic, lung function and body composition assessment, and cardiopulmonary exercise testing.


Cardiopulmonary Exercise Testing End User Insights


Based on end user, the Cardiopulmonary Exercise Testing Market has been segmented into hospitals & clinics, diagnostic centers, ambulatory centers, and others. The hospitals & clinics segment dominated the market in 2022, while the diagnostic centers segment is projected to be the fastest-growing during the forecast period, 2023–2030. The factors positively contributing to the segment’s growth are increasing preference of individuals, growing healthcare infrastructure, and availability of skilled professionals. The increased number of admissions due to an increase in cardiovascular illnesses is also predicted to drive segment growth throughout the projection period. According to American Heart Association (AHA), each year, more than 356,000 out-of-hospital cardiac arrests (OHCA) occur in the US. Moreover, governments in various emerging countries are also anticipated to boost demand by modernizing healthcare facilities.


Cardiopulmonary Exercise Testing Regional Insights


By region, the study segments the market into North America, Europe, Asia-Pacific, and Rest of the World. North America accounted for the largest market share of 37.77% in 2022 owing to the presence of active industry players in the region and the availability of the products propelling the market's growth in North America. Additionally, the region’s major growth is positively influenced by increasing incidences of cardiovascular diseases (CVD), which increase the demand for cardiopulmonary exercise testing (CPET) software and CPET metabolic carts. The CPET metabolic carts and software are utilized in CVDs in order to offer an evaluation of the respiratory, cardiovascular, and skeletal muscle systems' integrated exercise responses. According to the American Heart Association, coronary heart disease was one of the leading causes of death in the US in 2020 and account for 41.2% of deaths, followed by stroke (17.3%), other cardiovascular diseases (16.8%), high blood pressure (12.9%), heart failure (9.2%), and artery diseases (2.6%).  Therefore, increasing product launch to meet the demand of physician and patients are fostering the region’s growth.


Further, the major countries studied are: The US, Canada, Brazil, Germany, France, the UK, Italy, Spain, China, India, Japan, South Korea, Australia.


FIGURE 3: CARDIOPULMONARY EXERCISE TESTING MARKET, BY REGION, 2022 & 2032 (USD BILLION)


CARDIOPULMONARY EXERCISE TESTING MARKET, BY REGION, 2022 & 2032


Source: Secondary Research, Primary Research, MRFR Database and Analyst Review


The Europe region shows significant growth during the forecast period. This is due to the rising prevalence of chronic diseases such as cardiovascular diseases, respiratory disorders, and metabolic conditions that is driving the demand for CPET in Europe. CPET provides valuable diagnostic and prognostic information for these conditions, aiding in personalized treatment and management strategies. As per the European Survey of Cardiovascular Disease by Daiichi Sankyo Europe GmbH (Germany), there were approximately 60 million people living with CVD, and 13 million new cases were diagnosed in 2020.


Furthermore, according to MedTech Europe, adults aged 65 and older account for more than 80% of coronary artery disease (CAD) cases and more than 75% of congestive heart failure (CHF) cases in Europe. Moreover, the prevalence of CVDs in type 2 (T2) diabetes is as high as 32% in the European population. MedTech Europe reported in September 2022 that approximately 1 out of 3 people—that is, 36% of the European population—accounted for undiagnosed T2, and insulin dependency accounted for 20–30% of the diagnosed T2 population. Furthermore, the France Cardiopulmonary Exercise Testing Market held the largest market share in 2022 and Germany Cardiopulmonary Exercise Testing Market is the fastest growing market in the Europe region.


The growth of the market in Asia-Pacific is predicted to rise rapidly due to an owing to high applications of CPET in the geriatric population as aging populations are more prone to CVDs. As per the Asia-Pacific Report on Population Ageing 2022, there were approximately 670 million people aged 60 or older in Asia-Pacific in 2022. Furthermore, the chances of having CVDs increase in diabetic patients, which increases the demand for CPET devices. As per the Diabetes Atlas 2021, there were 90 million people diagnosed with diabetes in 2021, expected to reach 113 million by 2030 and 151 million by 2045, which is a flourishing opportunity for the Asia-Pacific market. Moreover, India Cardiopulmonary Exercise Testing Market held the largest market share in 2022 and China Cardiopulmonary Exercise Testing Market is the fastest growing market in the Asia-Pacific region.


Cardiopulmonary Exercise Testing Key Market Players & Competitive Insights


Major market players are spending a lot of money on R&D to increase their product, which will help the Cardiopulmonary Exercise Testing Market grow even more. Market participants are also taking a range of strategic initiatives to grow their worldwide footprint, including new product launches, contractual agreements, mergers and acquisitions, increased investments, and collaboration with other organizations. Competitors in the Cardiopulmonary Exercise Testing industry must offer cost-effective items to expand and survive in an increasingly competitive and rising market environment.


COSMED srl develops, manufactures, and sells diagnostic medical equipment globally. It offers diagnostic equipment for the metabolism, lungs, and body composition. The company's products include spirometers, Pulmonary Function Test (PFT), Cardiopulmonary Exercise Test (CPET), and indirect calorimetry diagnostic equipment. In addition, COSMED products are designed for either professional or medical use in a variety of settings, including hospitals, clinics, primary care, universities, and education in human physiology, clinical nutrition, commercial weight management, human performance centers, sports institutions, and the health club industry. Moreover, COSMED Srl launched the 2° generation of OMNIA 2.1 Software for clinicians, researchers, and health professionals to provide the highest standard of data management. This is the most comprehensive data management platform for metabolic, lung function and body composition assessment, and cardiopulmonary exercise testing.


Key Companies in the Cardiopulmonary Exercise Testing Market includes.



Cardiopulmonary Exercise Testing Industry Developments


June 2020: MGC Diagnostics (US) signed a distribution agreement with Monitored Therapeutics, Inc. (MTI) (US). In accordance with the terms of the contract, MGC Diagnostics will apply its expertise in diagnostic equipment and cardiopulmonary products to offer in-home solutions and to help medical professionals.


Cardiopulmonary Exercise Testing Market Segmentation


Cardiopulmonary Exercise Testing Product Outlook



  • CPET metabolic carts

  • software


Cardiopulmonary Exercise Testing End User Outlook



  • Hospitals & Clinics

  • Diagnostic Centers

  • Ambulatory Centers

  • Others


Cardiopulmonary Exercise Testing Regional Outlook



  • North America

    • US

    • Canada



  • Europe

    • Germany

    • France

    • UK

    • Italy

    • Spain

    • Rest of Europe



  • Asia-Pacific

    • China

    • India

    • Japan

    • South Korea

    • Australia

    • Rest of Asia-Pacific



  • Rest of the World

    • Middle East

    • Africa

    • Latin America



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