I have hypertension and a borderline dilated left ventricular. ef is 70%. is it serious?

Young and have HTN: Considering your age, the hyperension is to be taken seriously. Do you have obesity, family h/o HTN, any thyroid prolem- either thyroid excess or thyroid deficiency as both can cause HTN, adrenal problemsl. The ejection fraction of 70 % without any valve leak is good . Borderline dilated left ventricle indicates the change in the heart for the HTNby trying to accomodate the high peripheral pr(HTN

Need: Control of your blood pressure and possible cardiac remodeling medications modifying medications like ACE inhibitors

NOT SERIOUS: Your Ejection fraction is good and within normal range Normal EF is 55 to 70% and you are right at the top YOU ARE GOD