Incredible advances have been made in the management of a variety of cardiac problems during the past several years and this new issue of Critical Care Clinics seeks to illustrate a diverse sampling of some of those advancements. This issue, Guest Edited by Arthur Riba, explores such important topics as Cardiogenic Shock, Acute Valvular Insufficiency, Atrial Fibrillation, and Critical Care Imaging. Exciting topics such as New Interventional Devices in the Acute Cardiac Care Setting are also discussed. Every day we see new advancements in the field of Cardiac Critical Care, which makes this new issue of Critical Care Clinics a must have for anyone in the clinical field.