ChristianaCare’s Center for Heart & Vascular Health Earns 3-Star Rating for Heart Bypass Surgery From Society of Thoracic Surgeons

Feb 24, 2022

3 min

Kirk Garratt, M.D., MSc

ChristianaCare’s renowned Center for Heart & Vascular Health has earned the highest quality rating—three stars—from the Society of Thoracic Surgeons (STS) for its patient care and outcomes in isolated coronary artery bypass grafting (CABG) procedures. The prestigious three-star rating places ChristianaCare among the elite health care organizations for heart bypass surgery in the United States and Canada.


The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs across the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.


“Earning a three-star rating for heart bypass surgery places us among the top heart hospitals in the nation,” said Ray Blackwell, M.D., the W. Samuel Carpenter Chief of Cardiac Surgery at ChristianaCare. “Delaware residents can be confident that they have one of the best heart surgery teams in the nation right here, close to home, at ChristianaCare.”


The three-star rating from STS adds to ChristianaCare’s long list of awards for quality heart care. For the past two years, the Center for Heart & Vascular Health has earned the designation HeartCARE Center National Distinction of Excellence from the American College of Cardiology for its commitment to high quality cardiovascular care. In addition, the Center for Heart & Vascular health received the American Heart Association’s 2021 Mission: Lifeline Gold Quality Achievement Award for the treatment of patients who suffer severe heart attacks; the 2021 Get With The Guidelines NSTEMI Silver Award for patients with a less severe form of heart attack; and the 2021 Get With The Guidelines Gold Plus Award for Heart Failure.


“Our Center for Heart & Vascular Health and our community have much to be proud of,” said Kirk Garratt, M.D., medical director of the Center for Heart & Vascular Health. “We provide great outcomes, and we also listen to patients and families and work to ensure that the stressful experience of surgery is as easy as it can be. That kind of commitment leads to this kind of recognition.”


Heart Disease Remains a Leading Killer in the U.S.

According to the American Heart Association (AHA), heart disease remains a leading killer in the nation—claiming more than 600,000 lives each year. In addition, the AHA anticipates the effects of COVID-19 are likely to influence cardiovascular health and mortality rates for many years.


“February is American Heart Month, and there is no better time for us to take stock of our heart health than now,” Dr. Garratt said. “The COVID-19 pandemic has presented new challenges to people living with chronic conditions such as heart disease. People with heart conditions are at greater risk of complications from the virus and also continue to need assistance managing their heart health. If you are a heart patient, please do not postpone your regular visit with your cardiologist.”


The STS is a not-for-profit organization that represents more than 7,600 surgeons, researchers and allied health care professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung and esophagus, as well as other surgical procedures within the chest. The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons.


“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David Shahian, M.D., chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and helps provide patients and their families with meaningful information to help them make informed decisions about health care.”


About the Center for Heart & Vascular Health

ChristianaCare’s Center for Heart & Vascular Health is among the largest, most capable regional heart centers on the East Coast. It is one of the only centers in the region that integrates in a single location and under one roof cardiac surgery, vascular surgery, vascular interventional radiology, cardiology and interventional nephrology. Its team of experienced cardiovascular surgeons and heart experts perform nearly 700 open-heart procedures each year and treat more than 8,000 total heart and vascular cases annually. For more information, visit https://christianacare.org/services/heart/.


Connect with:
Kirk Garratt, M.D., MSc

Kirk Garratt, M.D., MSc

Medical Director of Center for Heart & Vascular Health and John H. Ammon Chair of Cardiology

Dr. Garratt oversees one of the nation's busiest heart programs, renown for its exceptional speed in heart attack response times.

CardiologyCardiovascular DiseaseHeart Health

You might also like...

Check out some other posts from ChristianaCare

1 min

Shellee's Story: 'A Whole New Life Has Opened Up'

Four years after successful bariatric surgery at ChristianaCare, Shellee Chew is living the active lifestyle that she always wanted. Whether she’s hiking, walking along the coast or participating in a 5K walk, Chew is amazed at the things she can now. She and a group of peers who had bariatric surgery at ChristianaCare rely on each other for positive encouragement. The emotional support has helped Chew see herself in a new light: Previously, she lived life cautiously because of her weight, with self-imposed restrictions. Now, nothing is off limits. “I can travel anywhere I want and do anything I want for as long as I want,” Chew said. “I’m 52 years old, and I’m doing things that I didn’t do when I was 20 … It’s like a whole new life has opened up.” ChristianaCare’s Bariatric Surgery program has been designated as a Blue Distinction Center+ for its exceptional, affordable care, low complication rates and better overall patient results.

5 min

Can You Hack Your Cycle?

You’ve probably heard of – or experienced for yourself – that women crave chocolate due to PMS (premenstrual syndrome) before or even during their cycle. Some attribute this craving to a loss of riboflavin during this time. But it could also be a response to the body’s increase in hormones that contribute to cravings for sweets and fats, and chocolate has both! Ignoring those cravings isn’t going to work. However, there are ways to satisfy your body’s needs without breaking the calorie bank, overindulging in food or reaching for unhealthy options. The cycle There are essentially two phases in the menstrual cycle — follicular and luteal — which are triggered by hormonal changes. “Cycle syncing” is the process of altering diet and activity according to a woman’s naturally occurring menstrual phases each month. When you consider nutrition “cycle syncing,” which is tailoring your nutrition with your menstrual cycle throughout the month, it’s helpful to break it into four separate components: Menstruation (beginning of menstruation). Follicular. Ovulation (1st day of luteal). Luteal. What does this mean? It means this complex cycle is controlled by female hormones that cause regular bleeding (periods). Estrogen is one of the major players that helps regulate a woman’s menstrual cycle and is produced mainly by the ovaries, the same two small glands that store hundreds of thousands of tiny eggs for release over a woman’s lifetime. Eating for PMS in cycle stages Phase 1: Menstruation – “Aunt Flo” comes to visit (3-7 days) During the menstrual period, the most work happens during the first three days. This is when a woman’s flow arrives and pain onsets in the pelvis, legs, back and other areas. This is also when the most blood is lost. The cramps a woman feels serve a purpose. They are a symptom of the uterus contracting, helping to shed the endometrium (the lining of the uterus), which you may know as Aunt Flo coming to visit, also known as menstrual bleeding. Focusing on good sources of nutrition with magnesium in them may help reduce the severity of symptoms for better sleep, headaches, muscle soreness in the uterus and cramping, swelling and bloating and mood changes. Healthy fats can be useful during this phase since levels of estrogen and progesterone are typically low. We need healthy fats to help generate any kind of hormones. Look for good sources of healthy fats in seafood rich in omega-3 fatty acids, avocados, olive oil, sardines in oil, nuts and seeds, fiber, apples, berries, ground flax seed and oatmeal. Phase 2: Follicular – release the kraken! (7-10 days) Let’s face it, during the second stage of a woman’s cycle, your body is about to drop the mic! Well, not the mic per se, but your body is preparing to release an egg. That’s a lot of work. During this phase, hormones are released to signal the production of follicles on the surface of an ovary. A handful will enlarge, but only the largest and strongest follicle will ultimately release an egg during ovulation. This plays the biggest role in the length of your cycle. At the very same time, the endometrium starts to thicken in case you’re getting ready to have a baby. The last five days of this phase, plus the ovulation day (the day the egg drops), are your fertile window (baby-making time!). This is when you are most likely to become pregnant if you have sexual intercourse without using birth control. Focus on complex carbohydrates during this phase. Complex carbohydrates keep the insulin-glucagon ratio even and can help manage depression, fatigue and insomnia. Pro Tip: Between cycling, zinc can be helpful for ovulation and potentially help to support the egg quality. For women who are looking to conceive, they may want to consider using more zinc in their diet or with a supplement leading up to the follicular phase. Talk with your health care provider to see if this is a helpful option for you. Phase 3: Ovulation phase – there can be only one! (2-4 days) The three to five days leading up to ovulation and the day of ovulation itself are the most fertile. Ovulation begins on the day the egg is released from the egg follicle on the ovary. Remember when you were little and found a dandelion seedling in the grass? You grabbed it and blew on the seedlings to release them into the wind. This is similar except it’s just one egg being released. Protein is your friend during this phase. Protein will help keep your blood sugars steady, keep you feeling full and prevent cravings. Phase 4: Luteal (premenstrual) phase – winter is coming! (10-14 days) The luteal phase starts on the day the egg drops, also known as ovulation day. This happens anytime from day 7 to day 22 of a normal menstrual cycle. After the teen years and before perimenopause (the time before menopause), the luteal phase is very predictable. It normally lasts 13 to 15 days from ovulation until menstrual bleeding starts a new cycle. These two weeks are also known as the premenstrual period. It’s very common to have symptoms during all or part of the luteal phase. You may feel irritable and cranky, gain water weight and feel bloated. A day or more before your period, you may start to have pain (cramps) in your belly, back or legs. It’s normal to have less energy at this time. Don’t panic, and don’t get down on yourself for needing to rest or nap. You may also have headaches, diarrhea or constipation, nausea or dizziness. When premenstrual symptoms make your daily life difficult, you are said to have premenstrual syndrome (PMS). Good dietary sources during the luteal phase should include calcium. Calcium can help reduce the severity of PMS symptoms, including bloating, depression, pain, mood swings and food cravings. Pro tip: It may be difficult to get all the calcium necessary to help with general PMS symptoms. While we recommend getting as much calcium as possible in your diet, check with your health care provider for guidance on nutrition and supplementation. According to the American College of Obstetricians and Gynecologists, 1,200 milligrams of magnesium is usually recommended to help reduce the physical and mood symptoms of PMS. Everyone metabolizes food and supplementation differently. Results will vary. The role of iron Consider increasing iron and iron sources, especially during the luteal phase leading up to the menstruation phase. The leading cause of iron deficiency and anemia is a woman’s cycle. The more that women boost their iron stores before their menstruation cycle, the better. Look to increase iron consumption through animal sources, legumes or fortified cereals. Some women might need supplementation or other medical interventions. Sometimes, other conditions cause heavy menstrual cycles or reasons for medical intervention. Follow up with your health care provider Women may have menstrual-related conditions needing treatment beyond lifestyle changes alone. Seek care for: Irregular periods (not due to medication or breastfeeding). Heavy menstrual bleeding or severe menstrual pain. Significant depression and/or anxiety around the menstruation cycle. Menstrual cycles can have many different symptoms and associated medical conditions. Making lifestyle modifications is helpful, but if you’re experiencing severe or concerning symptoms, these should always be discussed with a health care provider.

2 min

Post-Pandemic: How Alcohol Is Harming the Health of More Women

The prevalence of alcohol-related complications has been steadily increasing over the years, but a significant surge occurred during the pandemic, particularly among women aged 40 to 64. According to a JAMA Health Forum report titled High-Acuity Alcohol-Related Complications During the COVID-19 Epidemic, there was a significant increase in severe alcohol-related complications in women and alcoholism. The majority of these, 54% to 66%, were alcohol-related liver disease; smaller numbers, 3% to 5% and 1% to 3% were attributed to alcohol-related cardiomyopathy and alcohol-related gastritis with bleeding, respectively. What the trends mean If these trends persist, the increases in alcohol-related complications will continue to harm women. There are several reasons explaining this increase. In addition to the overall increase in alcohol consumption, the pandemic exacerbated feelings of loneliness and uncertainty about the future. Additionally, lockdowns led to more time spent at home – an environment where alcohol is readily available. How alcohol affects women Women are particularly vulnerable to the adverse effects of alcohol due to differences in body structure and chemistry. They absorb more alcohol and take longer to metabolize it. This means smaller amounts of alcohol can cause more serious health issues. Also, the shift towards drinking at home, which was further made easier by convenient online shopping and home delivery during the pandemic, led to increased consumption without judgment. Addressing any substance misuse needs a multimodal approach. There are treatment options and medications that can help. It is important to wean yourself off alcohol with a doctor’s supervision, as withdrawal can be severe and dangerous. Getting help Health care providers, patients and their loved ones can all partner in enhancing education and awareness about alcohol use risks and reducing stigma in seeking treatment when needed. It’s important for women to recognize that they are not alone and that help is available. It is a difficult addiction for anyone to go through, but education and support can significantly improve outcomes.

View all posts