A review.Cardiovascular diseases remain a critical global health challenge, necessitating advanced diagnostic tools for early detection and monitoring.This review comprehensively examines the emerging field of photoelectrochem. (PEC) sensing strategies for cardiovascular biomarker detection, highlighting recent technol. innovations and applications.We analyze various PEC detection mechanisms, including direct label-free approaches and indirect amplification methods, emphasizing their roles in achieving enhanced sensitivity and specificity.The review explores crucial developments in semiconductor nanostructures, composite materials, and two-dimensional materials, detailing their integration into sensing platforms.Particular attention is given to recognition elements, including antibodies and aptamers, and their optimization for specific biomarker detection.Recent advances in signal amplification strategies, such as enzymic labeling and nanoparticle-based enhancement, are discussed in the context of achieving clin. relevant detection limits.The review also addresses current tech. challenges, including matrix effects in biol. samples and long-term stability issues, while highlighting promising solutions through materials engineering and device design.Understanding these aspects is crucial for advancing PEC biosensor development toward practical clin. applications.