This is quite a detailed report, and you really should be asking these questions to the person who performed the test. The only abnormality is that there may be some mild RV dysfunction, and I am not sure how they quantitate RV diastolic dysfunction, or what this actually means. As far as I know there is very little in terms of mortality data for people with mild RV systolic or diastolic dysfunction. However, if there is some pulmonary hypertension, then you should be worked up for primary and secondary causes of pulmonary hypertension.
I should say that I have normal blood pressure, do not smoke and have good cholestrol.