{
  "id": 18244035,
  "title": "Marathon runner, 24, dies of rhabdomyolysis: How extreme running can put your heart at risk",
  "url": "https://urgent.news/2026/11/05/marathon-runner-24-dies-of-rhabdomyolysis-how-extreme-running-can-put",
  "topic": "culture",
  "section": "Culture",
  "published": "2026-11-05T04:00:08.000Z",
  "source": {
    "name": "The Indian Express",
    "slug": "the-indian-express",
    "url": "https://indianexpress.com/article/lifestyle/fitness/24-year-old-marathon-runner-dies-of-rhabdomyolysis-extreme-running-heart-at-risk-10950393/"
  },
  "original_language": "en",
  "account": "On November 1, 2026, 24-year-old Rachel Apa collapsed 3 kilometers from the finish line of the New York City Marathon. Her father claims doctors diagnosed her death as rhabdomyolysis, a condition caused by severe muscle breakdown. Experts say extreme physical exertion like marathon running can trigger this condition. Rhabdomyolysis occurs when muscle fibers break down, releasing myoglobin into the bloodstream, which can harm kidneys and disrupt electrolyte balance. The risk increases with overly intense activity, insufficient recovery, dehydration, and exercising in hot/humid conditions. While rare, rhabdomyolysis may cause cardiac arrest by altering the heart's electrical activity. Symptoms like severe muscle pain, swelling, dark urine, and unexplained weakness should prompt immediate medical attention. Preventive measures include gradual training, adequate recovery, proper nutrition, and hydration, especially in hot conditions.",
  "summary": null,
  "key_points": [
    "24-year-old Rachel Apa died from rhabdomyolysis after New York City Marathon",
    "Extreme running can trigger rhabdomyolysis, severe muscle breakdown",
    "Risk increases with intense activity, dehydration, hot/humid conditions"
  ],
  "editors_take": "This tragic fatality highlights how extreme physical exertion can trigger severe muscle breakdown, turning high-intensity endurance sports into life-threatening risks for cardiac and kidney health.",
  "illustration": null,
  "coverage": {
    "outlets": 1,
    "also_reported_by": []
  },
  "ai_generated": true,
  "disclaimer": "Summaries, key points and the editor’s take are written by software from other outlets’ reporting and may contain errors — always check the linked original."
}