A 24-year-old woman named Rachel Apa tragically passed away during the New York City Marathon due to a rare exercise-related condition called rhabdomyolysis. Apa, an experienced Division 1 field hockey athlete, collapsed near mile 24 in Central Park. She was immediately transported to the hospital, as reported by her family in The New York Times.
Apa worked as a product manager for an electronic manufacturing company. She was running the marathon to raise funds for the Parkinson’s Foundation, honoring her grandfather. As of now, the New York Road Runners, organizers of the marathon, and Apa’s family have not responded to requests for comments from Business Insider.
What is Rhabdomyolysis?
Rhabdomyolysis occurs when muscle tissue breaks down, releasing substances into the bloodstream. In severe cases, this overwhelms the kidneys, causing potential damage or kidney failure.
Factors like high-intensity exercise, hot temperatures, and dehydration can increase the risk. In the U.S., approximately 26,000 cases are reported each year, as stated by research. Cases have been linked to activities such as marathons or vigorous exercise sessions, sometimes exacerbated by high temperatures.
The military is also vigilant in quickly identifying rhabdo in troops.
Recognizing Symptoms
Symptoms include fatigue, muscle cramps or unexpected pain, and dark-colored urine. These symptoms may appear hours or days after exercising. Diagnosis can be confirmed with a blood test and treatment typically involves IV fluids to eliminate waste products.
Prevention Tips
- Avoid pushing too hard during workouts.
- Take regular breaks.
- Maintain hydration, especially in hot, humid weather.
This information does not replace professional medical advice. Consult a healthcare provider for guidance.

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