Myocardial infarction-related heart failure is a major cause of high mortality. Innate immunity, specifically macrophages and neutrophils, plays a crucial role in heart injury, scar regression, and regeneration. Neutrophils are among the first immune cells recruited to the site of injury, where they clear debris and release molecules that attract macrophages. Macrophages are also involved clearing dead cells, promoting angiogenesis and tissue repair, and contributing to fibrotic tissue formation. Macrophages communicate with other cells through various secreted molecules, including cytokines, chemokines, and extracellular vesicles, which influence recipient cell behaviour. Achieving a balance between innate immunity activation and resolution is crucial for cardiac tissue repair and preventing excessive inflammation and tissue damage. Zebrafish, known for its regenerative abilities, provides a model for studying heart regeneration. Upon heart injury, zebrafish exhibit a controlled inflammatory response involving macrophages and neutrophils, which clear damaged tissue and promote regeneration. Understanding the mechanisms underlying heart regeneration in zebrafish may provide insights for potential therapeutic strategies heart failure.