A New York City police officer and three other people were killed in a shooting in Midtown Manhattan on Monday evening, police confirmed at a late-night news conference.

Investigators are examining why the gunman who killed four people before taking his own life at a New York City office tower targeted the National Football League and whether he suffered from a brain disease.

A man stalked through a Manhattan office tower firing a rifle, killing four people, including a New York City police officer, and wounding a fifth before taking his own life, officials said.