A sixth measles-related death was reported Monday in Pennsylvania, involving a 39-year-old woman in Franklin County, amid the state’s largest outbreak in three decades. In a statement, the county coroner’s office office said the woman had underlying medical conditions, though it did not provide specifics. A spokesperson for the Franklin County coroner’s office said the “primary cause of death was a probable acute cardiac event due to possible complications of the measles.” Cardiac complications from measles can happen, but they are uncommon. The woman had not been vaccinated, the spokesperson said. The state’s Health Department considers a death to be “measles-associated” if it occurred within 30 days of symptom onset and there is clinical evidence of a measles infection and a positive laboratory test. It also takes into account the person’s medical records and whether they were exposed to measles before they died. As of Friday, Pennsylvania had confirmed 1,136 measles cases, with 219 hospitalizations. Two-thirds of those cases were diagnosed in adults. The Health Department said in an email Monday that it was aware …