What is the guidance on digoxin for people with atrial fibrillation and chronic heart failure?
For recommendations on digoxin for people with atrial fibrillation see the section on rate and rhythm control in the NICE guideline on atrial fibrillation Chronic Heart Failure Guideline summary NICE 2018. Digoxin is recommended for worsening or severe heart failure with reduced ejection fraction despite first line treatment for heart failure. Seek specialist advice before initiating.