Yes, in general: Digoxin is a drug that increases the strength of heart contractions and may be useful in the treatment of heart failure (as may be associated with a large left to right shunt such as an asd). It is a relatively safe drug although abnormal heart rhythms may develop if the dose is too high or if your child has abnormal potassium levels (too high or too low) while on digoxin.
Answered 7/4/2013
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Yes: Digoxin is commonly used to treat heart failure symptoms in children. The other question that comes to mind is whether there is a plan to close the ASD in the future.
Answered 5/14/2015
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Safe, not needed: Patients with ASD have no reason to get digoxin unless they have arrhythmias. A large ASD should be closed either in the catheterization laboratory or surgically. We would have to get more information from the echocardiogram to plan the next steps.
Answered 6/10/2014
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Debatable: There has been "controversy" about digoxin for a long, long time. It has been used for centuries (it comes from a plant). Some docs swear by it, some hate it. I have seen it used extensively--including at the top pediatric cardiology programs in the country. It is generally very safe if dosed appropriately.
Answered 10/9/2013
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