How is digoxin used in the management of acute pulmonary edema?

Should not be: Digoxin is used for management of atrial fibrillation and chronic heart failure. It has no role in the management of acute pulmonary edema or acute heart failure.

HR control: Digoxin is sometimes used to help control inappropriate tachycardia typically in the face of uncontrolled atrial fib. This might help if someone has acute pulmonary edema from the fast hr but if the patient is unstable then electrical cardioversion is usually preferred perhaps in combination with meds to control the rate.