Abstract: Background: After removing any possible cause of LV dysfunction, if detectable at diagnosis, and treatment optimization, myocardial remodeling can be reversed, and this will lead to better cardiac function and consequent better prognosis. Studies showed that is reasonable to evaluate patients 3 to 9 months after implementation of optimal medical treatment in order to identify candidates for. After addressing any possible causes of LV dysfunction, if detectable at diagnosis, and optimizing treatment, myocardial remodeling can be reversed, resulting in improved heart function and a better prognosis.