What is ‘rhabdo,’ the condition cited in central Pa. woman’s death at NYC Marathon?
PennLive.com • • sports
Key Points:
- Rachel Apa, a 24-year-old former Division 1 athlete, died after collapsing during her first New York City Marathon, with exercise-induced rhabdomyolysis believed to be the cause, according to her father.
- Rhabdomyolysis, or "rhabdo," is muscle breakdown releasing harmful substances into the bloodstream, potentially causing heart arrhythmias and kidney failure; while common in exertion, fatal cases like Apa's are rare.
- A 2022 study linked an increase in rhabdo cases during the NYC Marathon to unusually high heat and humidity, highlighting environmental factors as risks for exertional rhabdo.
- Symptoms of rhabdo can mimic typical marathon fatigue, making it difficult for runners to recognize danger; immediate medical intervention, including early defibrillation, is critical for survival during collapse.
- Experts advise proper training, listening to one’s body, avoiding sudden intense exertion, and caution in extreme weather to reduce rhabdo risk; investigations into Apa’s medical history and race conditions continue.
