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Which organ can survive the longest without oxygen?

Published in Physiology 1 min read

Vascular smooth muscle can survive the longest without oxygen compared to other major organs.

While the brain is highly sensitive to oxygen deprivation (lasting less than 3 minutes), and organs like the kidneys and liver can only tolerate about 15-20 minutes, vascular smooth muscle demonstrates remarkable resilience, potentially surviving for 24-72 hours under hypoxic conditions. Skeletal muscle can survive for 60-90 minutes. This difference in survival time is due to differences in metabolic rates and energy reserves.

Organ Survival Time Without Oxygen
Brain <3 minutes
Kidney and Liver 15-20 minutes
Skeletal Muscle 60-90 minutes
Vascular Smooth Muscle 24-72 hours

This resilience allows blood vessels to maintain some level of function even during periods of ischemia or hypoxia, which is critical for overall survival.

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