欧洲心脏病学会国家每年植入超过50万个心血管植入式电子设备（CIED）。心血管成像对考虑接受 CIED 的患者的作用与成像对 CIED 接受者的作用明显不同。在前一组中，成像可以帮助识别心脏传导阻滞的特定或潜在可逆原因、与恶性心律失常相关的潜在组织特征、传导延迟的机械后果，并且还可以帮助具有挑战性的导线放置。另一方面，CIED 接受者需要进行心血管成像，以用于标准适应症、评估装置植入的反应、诊断植入后的即时和迟发并发症以及指导装置优化。欧洲心血管影像协会与欧洲心律协会合作，目前的临床共识声明（第 1 部分）为心脏病专家、心脏成像师和起搏专家提供了关于使用接受植入传统起搏器、心脏复律除颤器和再同步治疗装置的患者的成像。该文件总结了有关在患者选择和植入过程中使用成像的现有证据，并强调了该领域证据的差距。第二份文件（第 2 部分）讨论了 CIED 植入后影像学的作用。© 作者 2023。由牛津大学出版社代表欧洲心脏病学会出版。版权所有。如需权限，请发送电子邮件至：journals.permissions@oup.com。

More than 500,000 cardiovascular implantable electronic devices (CIED) are implanted in the European Society of Cardiology countries each year. The role of cardiovascular imaging in patients being considered for CIED is distinctly different from imaging in CIED recipients. In the former group, imaging can help identify specific or potentially reversible causes of heart block, the underlying tissue characteristics associated with malignant arrhythmias, the mechanical consequences of conduction delays and can also aid challenging lead placements. On the other hand, cardiovascular imaging is required in CIED recipients both for standard indications, and to assess the response to device implantation, to diagnose immediate and delayed complications after implantation, and to guide device optimization. The present clinical consensus statement (Part 1) from the European Association of Cardiovascular Imaging, in collaboration with the European Heart Rhythm Association, provides comprehensive, up-to-date and evidence-based guidance to cardiologists, cardiac imagers and pacing specialists regarding the use of imaging in patients undergoing implantation of conventional pacemakers, cardioverter defibrillators and resynchronization therapy devices. The document summarizes the existing evidence regarding the use of imaging in patient selection and during the implantation procedure and also underlines gaps in evidence in the field. The role of imaging after CIED implantation is discussed in the second document (Part 2).© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.