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.