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. 2026 Sep 24;26(1):52. doi: 10.1007/s11910-026-01519-w

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© The Author(s) 2026

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

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Fig. 4 — Survival triage across flow and time. As perfusion falls the cell relinquishes expensive functions before it relinquishes viability, and as the deficit is sustained the threshold for irreversible injury climbs to meet it. The brackets separate empirically established acute ischemic thresholds from the chronic extrapolation proposed in this review