MRI Device Surveillance Guidelines

This document outlines a standardized protocol for safely performing MRI scans in patients with cardiac implantable electronic devices (CIEDs), including both MRI-conditional and legacy systems. It details eligibility criteria, device-specific risk stratification, pre-MRI workflows, programming requirements, intra-scan monitoring, and post-MRI follow-up. The guideline is designed to improve patient safety while streamlining coordination between device clinics, MRI teams, and electrophysiology providers. It also addresses special populations such as pacing-dependent patients, those with abandoned or epicardial leads, and older device systems.