The Aporia · 'Ow, ow': NYC runner Rachel Apa sends text to father from marathon, collapses and dies

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Rachel Apa, a 24-year-old runner from Lewisberry, Pennsylvania, died on Sunday after collapsing about two miles short of the finish line during the New York City Marathon. She had been running her first marathon as part of the Parkinson’s Champions team to honor her late grandfather who battled Parkinson's disease before his death in 2022. Apa was training for months and was described by her father, Steve Apa, as being in "perfect health" and "perfect shape." According to her father, Rachel texted him from mile 19 saying “Ow ow” and collapsed at mile 24. A bystander administered CPR, and event medical staff also performed CPR and used a defibrillator but were unable to revive her. Her death is attributed to rhabdomyolysis, a rare condition linked to intense physical exercise where muscle cells break down and release toxic components into the bloodstream.

Written for “NYC Marathon Runner Dies from Rhabdomyolysis” on 2026-11-04, grounded in this article and the 15 other(s) covering the same event.

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A 24-year-old woman died after collapsing during the final stages of the New York City Marathon on Sunday, with her father saying she suffered from a rare condition linked to intense physical exercise. asserted

she → die → exercise

Rachel Apa collapsed in Central Park, about two miles from the finish line, during her first marathon, her father, Steve Apa, told The New York Times. asserted

father → collapse → Times

She was running as part of the Parkinson’s Champions team in memory of her grandfather, who had suffered from the disease. asserted

who → run → disease

Apa, from Lewisberry, Pennsylvania, had played field hockey in college and was in “perfect health, perfect shape”, her father said. asserted

father → play → health

Her parents were cheering her on during the race. asserted

parents → cheer → race

Her mother, Michelle Apa, had filmed her smiling at mile 14. asserted

her → film → mile

However, Rachel later began reporting pain through text messages to her father. asserted

Rachel → begin → father

At mile 18, she sent him a message saying “Ow”, followed by another message reading “Ow, ow” a mile later. asserted

she → send → message

She appeared to have recovered as she approached the final stretch, texting her father at mile 23. asserted

she → appear → mile

But she collapsed shortly afterwards. asserted

she → collapse → ?

A member of the public performed CPR before race medical staff arrived and used a defibrillator. asserted

staff → perform → defibrillator

She was then rushed to Mount Sinai Medical Center, where doctors tried to save her. asserted

doctors → rush → her

However, she died at 9.40 pm. asserted

she → die → pm

Her father said she died from rhabdomyolysis, a rare condition in which damaged muscles break down and release their contents into the bloodstream. asserted

muscles → say → bloodstream

The condition can be triggered by intense physical exertion. asserted

condition → trigger → exertion

“It’s unfathomable,” Steve Apa said. asserted

Apa → ’ → ?

Rachel had recently begun an MBA programme at Charleston Southern University. asserted

Rachel → begin → University

The New York Road Runners, which organizes the marathon, said it was “deeply saddened” by the death of one of its participants. asserted

it → organize → participants

“Our thoughts and sincere sympathies are with the runner’s family, friends, and the entire running community,” the organization said. asserted

organization → say → family

'Ow, ow': NYC runner Rachel Apa sends text to father from marathon, collapses and dies

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