Most of the current analytical methods depend largely on laboratory-based analytical techniques that require expensive and bulky equipment, potentially incur costly testing, and involve lengthy detection processes. With increasing requirements for point-of-care testing (POCT), more attention has been paid to miniaturized analytical devices. Miniaturized electrochemical (MEC) sensors, including different material-based MEC sensors (such as DNA-, paper-, and screen electrode-based), have been in strong demand in analytical science due to their easy operation, portability, high sensitivity, as well as their short analysis time. They have been applied for the detection of trace amounts of target through measuring changes in electrochemical signal, such as current, voltage, potential, or impedance, due to the oxidation/reduction of chemical/biological molecules with the help of electrodes and electrochemical units. MEC sensors present great potential for the detection of targets including small organic molecules, metal ions, and biomolecules. In recent years, MEC sensors have been broadly applied to POCT in various fields, including health care, food safety, and environmental monitoring, owing to the excellent advantages of electrochemical (EC) technologies. This review summarized the state-of-the-art advancements on various types of MEC sensors and their applications in POCT. Furthermore, the future perspectives, opportunities, and challenges in this field are also discussed.