Research evidences show that 5 million people die of stroke, and 5 million people are also left with permanent physical disability globally every year, due to the incidence of stroke. Stroke remains the third leading cause of mortality and physical disability among young adults and the aged in the developing and developed nations of the world. The public knowledge of stroke risk factors and signs have not changed. Heart attack and stroke are the symptoms of cardiovascular disease, morbidity and mortality worldwide. Stroke attack is increasing among young adults, due to changing lifestyles. This study assessed the influence of strategic communication on stroke and hypertension literacy. The paper adopted qualitative descriptive approach to examine the elements involved in stroke cases and rising hypertension among young adults in Nigeria. The paper recommends that public health campaigns targeted at youths should aim to promote cardiovascular health and wellness. It is essential for the health care providers to enlighten young adults at early stage to imbibe cardiovascular wellness in Nigeria. Besides, early arrival of stroke patients to stroke centres or hospitals for immediate medical attention should be widely emphasized through public education and strategic communication process in the media.