Cardiology Specialized Center
To enhance health services in
Iraq , the intentions have been established around rendering
adequate general medical services , as well as specialized ones
One of these specialized
services is related to cardiac care both on prevention and
treatment levels . Hence , the construction of a specialized
cardiac diseases centre has been an important issue in this
The cardiac diseases centre
where highly techno – medical interactions occur is intended to
be situated in Baghdad . Probably this centre which may be
considered “ National “ , demands proper methodologies in
tackling problems of planning , designing , constructing ,
equipping , and maintaining . So is the case in order to provide
advanced medical care ‘ probably the latest ‘ to its patients .
Careful considerations forth whole centre policies are adopted.
The extend of services to be provided ( Role Statement ) , the
functional structure of the centre , the management structure
and organization , and the procedures and activities which apply
to those activities / services which link or are common to
individual sections / zones / departments was incorporated too.
Some points were considered important while designing the centre:
The departmental policies with
respect to role , functional description , and interdepartmental
Schedules of accommodation (
list of room ) for each department in a tabulated format . It
contains groupings of rooms within the department which have
reflected the internal adjacencies .
Description and analyses the
architectural planning and design of the proposed ( suggested )
solution / design of the Cardiac Centre .
Demonstrate the constructional
methods , mechanical Engineering Considerations, Sanitary works
parameters , and Electrical works assumptions, concentrations on
constructional method are highlighted here.
ARCHITECTURAL PLANNING AND
Main planning and design issues are related to the nature of the
cardiac centre , site characteristics , and the local “ Iraqi “
impacts on design .
The nature of the centre is a collection of complex systems that
form the very centre. The complexity stems from the interaction
between, medical, technical, and social issues. Thus the followings
will describe and analyze the site of the proposed cardiac centre in
order to justify many impacts on the proposed and enclosed design
The site analyses :
The site is located on River Tigris bank in Baghdad – Risafah in the
medical city complex. The site is contours in topography .It slopes
from the main street towards river bank in a ( 3.00) meters
difference of height. This is a feature that designer is preferred
to invest and minimizing excavation by adapting design to slopped
site is important in this urban site case. The site faces west
orientation on one hand but this orientation is facing river scenery
on the other. This puts designer in dilemma, either facing west to
get scenery but pay the price of the most expensive energy
expenditure or ignore the important scenery and face south or any
other ( except west ) orientation.
However, the nature of the cardiac centre in terms of activities,
functions and services type has a noticeable impact on zoning, and
functional relationship between the cardiac centre sections and
departments .In addition the site characteristics have impact on
design too. The topography, the orientation, the access from roads,
the shape the area, ………etc., of the given site have impacts on
design too. The local factors ought to be considered, such as
climate and social issues, patient – medical patterns of
interaction, and cultural issues in Iraq. The following paragraphs
will demonstrate the way the proposed design of the cardiac centre
has utilized these characteristics in order to meet client
objectives, ensure functionalism, match local resources, and give
some aesthetics to the design.
However, one word should be said about the enclosed proposed design
( it can only fit the given site , i.e., it can not fit any other
site easily. It is well tailored to fit site. It considers most of
the given factors. However there are many other designs that can fit
the given site, but from few unimportant criteria, such as design
shape and geometry. For example, standard and common design layouts
which are many can be introduced to this site. They may be
functional, economical but lacks the spirit of being “Cardiac” in
real sense. The proposed design should leave the commonly practiced
attempts of designing since it is “National” and occupies on of the
most “beautiful” urban site in the capital Baghdad.
The enclosed design of the cardiac center was built on a developed
brief / programmed which was derived from literature of cardiac and
cardiovascular medicine. The design had allocated some of the main
departments / section in the lowest level / basement. These were the
patient department C.S.S.D., central kitchen, engineering services,
central stores, main canteen, main lecture hall, which is a part of
the proposed Iraqi cardiovascular research headquarter . On the
basement level the design allocated the diagnostic and treatment
services too. In addition to the administrative section of the
cardiovascular headquarter the patients wards both, medical and
surgical and medical, and nursing staff accommodations had been on
the Ground, First, Second and Third levels.
So far the description is ordinary and may be similar to any other
cardiac centre, but what is not ordinary in this sense is what the
the adoption of the heart
shape in the design .
the utilization of some
related issues to the cardiac world in the design .The design
adopted “the open heart surgery” concept too.
drawing analogy to
cardiovascular world like operating tools ,knife, needle and
valve was also seen in design .
as cardiovascular field needs
fast and quick arrangements and communication with other parts
of the world by (dicom) systems, like the human blood
circulation arteries veins via: heart openings, the design
consists of reference to arteries, veins, heart openings so
barreled and vaulted skylights, courtyards opening are utilized
in the proposed design. The library “centre of science "was
accommodated in a heart shaped dome which is open referring to
open heart concept of surgery.
Investing site characteristics:
The characteristics of site were respected such as the contour lines
. The lowest floor was situated as half basement as no major
excavation and cut in site was made and the contour lines were
adopted properly Ground floor level was made above street level to
minimize excavation and costs . River Tigris bank was used to get
some view but avoiding west orientation for major spaces thus
sacrifice scenery for energy savings, which are vital in Iraq.
Considerations of Local
The local issues of Iraq were also considered in the design such as
the court in Baghdadi house as many courts “light wells” were
deployed in the proposed design. That was because of the cardiac
centre design that was characterized by straight lines of
circulation pattern with loops of rectangular angled corridors to
simulate the closed blood circulation in human body. Other features
of Islamic-Arab architecture were adopted to make double coded sign
of architecture, e.g., the library is accommodated in a cut and
toppled heart but it looks like a dome. The same thing follows to
the skin wall that surrounds the heart “look - like” mass that
housed the proposed Iraqi Cardiovascular Headquarters. It can be
explained as the outer membrane of the human heart, at the apex of
the heart but it simulates the fortified walls of Baghdad City in