Bouba Dieme is a towering, 6-foot-7 example that heart failure can happen to anyone. That’s not what springs to mind when you hear “heart failure,” right? There’s a look, who’s taking care of themselves and who isn’t, who’s going to need an LVAD heart pump or heart transplant down the line and who won’t. Giant, lithe, athletic types — those tall glasses of water among us — it’s not those guys. Except when it is. “I never drank. Never smoked. But this happened,” Dieme said. “We really don’t know until you get checked. I was always very physically fit.” As Dieme, 32, can attest, it can seem like “it doesn’t happen until it happens to you.” But chances are it will happen to you or someone you know. This is the story of how heart failure, the need for a heart transplant and life with a left ventricular assist device (LVAD) happened to Bouba Dieme, decades sooner than he might have ever imagined — if he’d imagined it at all.