磁共振（MR）成像是重要的无创影像检查方法。心血管植入型电子器械（CIED）患者接受MR检查既往被视为禁忌，但随着设备技术革新，在遵循特定流程前提下，绝大多数CIED患者已可安全接受MR检查。为规范国内临床操作，中华医学会心电生理和起搏分会、中国医学装备协会心律失常技术分会和中国医师协会心律学专业委员会组织国内相关领域专家制订本标准流程建议。本建议明确了关键术语定义，围绕植入MR兼容与非兼容CIED患者，系统梳理了检查前、中、后全流程关键节点，共形成15条推荐意见，并针对特殊临床情况给出分层管理策略，旨在为临床提供标准化操作参考，提升CIED患者行MR检查的安全性与可及性。

Magnetic resonance (MR) imaging represents a cornerstone of non-invasive diagnostic radiology. Historically, patients with cardiovascular implantable electronic devices (CIED) were universally excluded from MR procedures due to safety concerns. However, iterative innovations in device technology have shifted this paradigm, enabling the majority of CIED recipients to undergo MR imaging safely when stringent protocols are implemented. To address the growing clinical demand and standardize practice in China, a multidisciplinary panel of experts convened by the Chinese Society of Pacing and Electrophysiology (CSPE), The Arrhythmia Technology Society of China Association of Medical Equipment(CAME) , and Chinese Medical Doctor Association Cardiac Rhythm Management Committee developed this consensus guideline. This document defines key terminology and establishes a comprehensive framework encompassing pre-procedural patient selection, intra-procedural monitoring protocols, and post-procedural follow-up for both MR-conditional and legacy non-MR-conditional CIED. Fifteen evidence-based recommendations are presented alongside risk-stratified management algorithms for complex clinical scenarios. The guideline aims to standardize clinical decision-making and mitigate procedural risks, ultimately expanding access to MR imaging for eligible CIED patients.