A blood pressure of 140 (technically 141 or higher) over 100 is high, both systolically and diastolically speaking. Are you taking antihypertensive medication(s)? I'd start there if I was you...
An ACR (albumin to creatinine ratio) of 6.4 mg/mmol is indicative of microalbuminuria (MAU). I think you should be concerned; I'd escalate to worried if you do not intend to pursue treatment and follow-up.
Your LDL level is within normal limits. Your total cholesterol is elevated.
You definitely need to get follow-up for your hypertension (high blood pressure) and MAU.