You have Heart failure. It's mild, but the reference range of Ejection fraction is like 50-65%, your left is 47 which is not terrible, but the 41% of your rightvent is awful and needs to remediated ASAP.
Im suprised your doctor didn't immediately prescribe at least one of the Heart failure drugs.
The principle heart failure drugs are a Beta Blocker, an SGLT2 inhibitor, an ACE/ARB, and a MRA. Work to ease the burden of the heart by lowering blood pressure, fluid in the heart, and heart rate. Even if your doctor doesn't prescribe you anything, you really should look into taking some of the above drug classes. Uncheck heartfailure like this is how you do by 50 or sooner when your gear use.