Despite the widely reported relationship between NT‐proBNP and HF and the correlation shown in our study between NT‐proBNP, CIMT, and carotid distensibility (Table 2), when adjusted for in the models, NT‐proBNP weakened the association between CIMT and incident HF and strengthened the association between carotid distensibility and incident HF. Here, NPPB is linked to hydrops fetalis.