{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:58:44Z","timestamp":1790935124722,"version":"4.1.0"},"reference-count":0,"publisher":"Turkish Society of Cardiology","issue":"54","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/pdf.journalagent.com\/tkd\/pdfs\/TKDA_54_7_596_605.pdf"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,2]]},"abstract":"<jats:p>Objective: To evaluate the clinical use of instant-messaging e-consultation among cardiologists in T\u00fcrkiye, self-reported treatment delays attributed to the perceived quality of transmitted data, and variations in medicolegal concern according to professional seniority.\n\nMethod: A total of 253 cardiologists completed a cross-sectional online survey covering consultation patterns, acute myocardial infarction (AMI)-related support, types of shared data, data quality-related treatment delays, regulatory awareness, and the 15-item Medicolegal Implications of Digital Consultation in Cardiology Scale (MIDCCS). The primary analysis compared MIDCCS domain scores across seniority groups using the Kruskal\u2013Wallis H test with Holm\u2013Bonferroni correction; a single-item ordinal regression analysis of global concern was exploratory.\n\nResults: Among current users, 86.9% (213\/245) reported at least one AMI-related informal support activity: preliminary assessment, 71.5%; triage, 60.1%; catheterization laboratory activation support, 36.4%; and early management, 42.7%. The most frequently shared data type was the ECG (95.2%). A self-reported treatment delay attributed to perceived poor data quality was reported by 23.7% (58\/245), most commonly involving ECG photographs. Medicolegal concern differed markedly across seniority groups after correction (P&lt;.001 in every domain), with specialists and faculty members scoring higher than residents. In an exploratory ordinal model, a history of treatment delay was directionally but nonsignificantly associated with greater concern (common OR=1.711; 95% CI, 0.994\u20132.946). The MIDCCS demonstrated good internal consistency (Cronbach \u03b1=0.86).\n\nConclusion: Although e-consultation was widespread and clinically functional, data quality failures and seniority-related medicolegal concerns indicate important limitations. The findings highlight the need for a secure national e-consultation infrastructure integrated into Hospital Information Management Systems that is KVKK-compliant and end-to-end encrypted, while remaining as fast and user-friendly as WhatsApp.<\/jats:p>","DOI":"10.5543\/tkda.2026.23495","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:31:40Z","timestamp":1790933500000},"page":"596","source":"Crossref","is-referenced-by-count":0,"title":["The e-Consultation Paradox in Cardiology: The Conflict Between the Clinical Agility of Instant Messaging and Medicolegal Concerns Created by Current Legislation"],"prefix":"10.5543","volume":"7","author":[{"given":"Nazile","family":"Bilgin Do\u011fan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3567","published-online":{"date-parts":[[2026,10,2]]},"container-title":["Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology"],"original-title":[],"link":[{"URL":"https:\/\/pdf.journalagent.com\/tkd\/pdfs\/TKDA_54_7_596_605.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:31:41Z","timestamp":1790933501000},"score":1,"resource":{"primary":{"URL":"https:\/\/archivestsc.com\/jvi.aspx?un=TKDA-23495&volume=54&issue=7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,2]]},"references-count":0,"journal-issue":{"issue":"54","published-online":{"date-parts":[[2026,10,2]]},"published-print":{"date-parts":[[2026,10,2]]}},"URL":"https:\/\/doi.org\/10.5543\/tkda.2026.23495","relation":{},"ISSN":["1016-5169","1308-4488"],"issn-type":[{"value":"1016-5169","type":"print"},{"value":"1308-4488","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,2]]}}}