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NYC marathoner died from rare condition rhabdomyolysis, father says

NYC marathoner died from rare condition rhabdomyolysis, father says

Summary

Rachel Apa, 24, collapsed at Mile 24 of the New York City Marathon and died after being taken to a Mount Sinai hospital. Her father said she had rhabdomyolysis, but the city medical examiner said the cause of death has not been finally determined.

Key Facts

  • Apa had texted her father that she was in pain during the race, he told The New York Times.
  • A bystander began CPR, and race medical staff took over and used a defibrillator, according to New York Road Runners.
  • Rhabdomyolysis occurs when damaged muscle cells release substances into the blood that can harm the kidneys and affect heart rhythm.
  • Intense exercise can trigger rhabdomyolysis, with risks including heat, dehydration and illness.
  • Common symptoms include muscle pain, weakness and dark urine; symptoms often develop within one to three days.
  • Treatment may include intravenous fluids, monitoring potassium levels and, in severe cases, dialysis.
  • The New York City Office of the Chief Medical Examiner said it had not made a final determination of Apa’s cause of death.
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