Echocardiogram question

[LaraRomont]

Here is what came back as higher then the (normal range).
IVSd 1.25cm (0.6-1.1)
Ao Root Diameter 3.86cm (2.0-3.7)
LVPWd 1.21cm (0.6-1.1)
"-There is a greater than 50% collapse of the IVC with inspiration. There is impaired LV relation with normal LV filling pressures consistent with mild diastolic dysfunction (grade 1 DD).
- The left ventricular ejection fraction is estimated at 40-45%. No regional wall motion abnormalities were noted.
-Mild mitral regurgitation, -mild aortic regurgitation. -Trace tricuspid regurgitation. The estimated right ventricular pressure is 11.55mmHG.
-There is trivial pulmonic regurgitation.  Everything else said normal.

What does this mean for me going forward? Am I likely to have heart failure? What can I do?