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St. Paul, Minn.

The first symptom may be the last

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Runners
Runners approach the 23 mile mark in Sunday's marathon
MPR Photo/Euan Kerr

A runner in Sunday's Twin Cities Marathon collapsed and died from a heart attack, the second death in the 25-year history of the race.

Yet another runner was felled by cardiac arrest just before the finish line. He was revived on site and taken to Regions Hospital in St. Paul.

Race participants are not required to prove they're physically fit before registering. Dr. Bill Roberts, medical director for the Twin Cities Marathon, explains why it wouldn't necessarily help if they did.

Gallery
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Mbarak Hussein
Simon Sawe (l) and Mbarak Hussein approach the 23 mile mark in the Twin Cities Marathon. Hussein pulled away from Sawe in the last mile to win the marathon with a time of 2 hours, 13 minutes, and 52 seconds.
MPR Photo/Euan Kerr
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Wheeler
A wheelchair racer crests the brow of the long hill on Summit Avenue in St Paul. Tony Iniguez led from the start and won in a time of 1 hour 47 minutes and 23 seconds.
MPR Photo/Euan Kerr
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Runners
Runners approach the 23 mile mark in Sunday's marathon
MPR Photo/Euan Kerr