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These very early improvements are provided, successes of this strategy are showcased, and possible future focus on this avenue of scientific studies are critically discussed. © 2020 WILEY-VCH Verlag GmbH Co. KGaA, Weinheim.AIMS Improved danger stratification is of value for decision making in pulmonary arterial hypertension (PAH). Appropriate heart catheterization combined with quantitative tricuspid regurgitation (TR) by cardio magnetized resonance (CMR)