Rachel Apa died after collapsing with about two miles left in the New York City Marathon, turning a race she had nearly finished into a fatal emergency. She was 24.
Around mile 24 in Central Park, Apa went down after running her first official marathon. A social worker and several doctors started CPR at the scene, and race emergency services used an automated defibrillator before an ambulance took her to Hospital Mount Sinai.
What makes the loss harder to absorb is how close she was to the end. Her father was tracking her on the official race app from Pensilvania, while Apa kept messaging him at miles 18 and 19 with two short notes: “Ay” and “Ay, ay.” At mile 14 in Queens, she was still smiling and waving to cameras, a snapshot of a runner who looked on pace to finish what she had spent months preparing to do.
Apa had trained rigorously for the marathon and was running with the team of champions of the Fundación para la Investigación del Parkinson. She had also played field hockey at Universidad de Bucknell in Pensilvania. Her effort was tied to memory as much as sport: she was raising funds and medical awareness in honor of her deceased grandfather, whom she had described during her childhood as her role model.
Her mother accompanied her at different points on the course, and the family watched the race unfold across New York as tens of thousands of athletes filled the streets and spectators lined the route. That public setting only sharpened the contrast between the early miles, when Apa looked strong, and the final stretch, where an athletic test ended in a medical crisis.
The unanswered question is now the most important one: what caused the collapse. The emergency response was immediate, but the facts released so far stop there. For now, the race ends not with a finish-line time, but with a young runner who came within sight of it and never made it there.

