Rachel Apa, 24, died during her first New York City Marathon on November 1.
She was 24, from Lewisberry, Pennsylvania, and a former Bucknell field hockey player.
She ran with the Parkinson's Champions team in memory of her grandfather, who died in 2022.
Her mother filmed her near mile 14. Her father tracked her on the race app from home.
At mile 18 she texted her dad 'Ow.' At mile 19 she wrote 'Ow ow.' Then silence.
Around 1:30 PM, near mile 24, she collapsed, just over two miles from the finish line.
Spectator Michaela Nicholas, a hospital social worker, ran over and started CPR.
Race medics used a defibrillator. Paramedics rushed her to Mount Sinai Medical Center.
She was declared dead around 9:40 PM, her father told the New York Times.
In this rare condition, badly overworked muscle tissue breaks down and can poison the body.
About 26,000 US cases a year, per Cleveland Clinic. It was the race's first runner death since 2024.
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