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The annual Los Angeles Marathon routinely draws more than 20,000 participants every year, many of them athletes from around the world.

Participants run along Hollywood Boulevard during the L.A. Marathon on March 18, 2018. (Credit: Wally Skalij / Los Angeles Times)
Participants run along Hollywood Boulevard during the L.A. Marathon on March 18, 2018. (Credit: Wally Skalij / Los Angeles Times)

The 26.2-mile race can be grueling for those in the best physical shape, but especially people who suffer from heart conditions or other physical ailments.

On Sunday, four out of 86 people treated, mostly runners, suffered potentially life-threatening medical problems that required immediate care, said L.A. Fire Department Capt. Erik Scott.

That doesn’t count individuals who visited medical tents along the marathon course, which stretched from downtown Los Angeles to the Santa Monica Pier.

Read the full story on LATimes.com.