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Purpose This document has been prepared to support the clinical activity of cardiologists and radiologists involved in the planning and execution of magnetic resonance exams in patients implanted with pacemakers, defibrillators and loop recorders, to guarantee patients and operators safety. The author think that the issue focused in the document requires a comprehensive description of technological, scientific, regulatory and organizational aspects, related to the interaction between cardiac implantable medical devices and magnetic resonance. Methods National and international regulatory framework analysis procedural criticities review have been performed to inspire organizational models apt do manage technical issues related to magnetic resonance patients with cardiac implantable medical devices. Results Management of clinical diagnostic routine with magnetic resonance facilities could be critical for patients with implanted medical devices, due to the necessity of strictly respected complex procedures involving some different health workers (cardiologists, radiologists, medical physics experts, clinical engineer). Conclusions To perform diagnostic magnetic resonance exams on patients with cardiac implantable medical devices is really possible, but only activating organizational models and technical procedures adapted to guarantee regulatory framework respect and full traceability.