Left-ventricular diastolic function is influenced by multiple factors in hypertension. These factors include age, left-ventricular hypertrophy, afterload, left-atrial pressure, blood pressure, and myocardial stiffness. The influences of and interactions among these factors change the filling characteristics of the left ventricle and characterize diastolic function. Despite the complex nature of these interactions, important clinical information can be noninvasively derived by Doppler echocardiography and nuclear scintigraphy. The entire spectrum of hypertension is involved with and may alter left-ventricular diastolic function.