Heart failure (HF) is a leading clinical and public health concern because of its high prevalence and poor prognosis. It is thus critical to identify novel risk factors for developing HF. Mitochondrial DNA copy number (mtDNA-CN), an indirect biomarker of mitochondrial dysfunction, is associated with atherosclerotic cardiovascular disease endpoints, cardiovascular risk factors, all-cause mortality, and sudden cardiac death. The association between mtDNA-CN and the risk of incident HF, however, is unknown. We examined this association in the Atherosclerosis Risk in Communities (ARIC) cohort