True-this has been around since 1785. increase the force of myocardial contraction (positive inotropic effect)- increases cardiac outputalso slows electrical activity in the heart which decreases hr (negative chronotrophy)it also reduces the conduction velocity and prolongs the refractory period at the av nodethe result of this is the heart is able to fill and empty more completely which improves circulation- which reduces the systemic and pulmonary congestion and peripheral edema because of the improved perfusion to the kidneysused to treat mild to severe systolic heart failure that doesnt respond to other meds (diuretics, beta blockers and ace) also used for a-fib, a-flutter, and paroxysmal tachycardia.digoxin is not used to treat diastolic heart failure- it may worsen diastolic heart failuretoo many side effects