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Perovskite-modified electrodes have received increasing attention in the last decade, due to their electrocatalytic properties to undergo the sensitive and selective detection of bioactive molecules, such as hydrogen peroxide, glucose, and dopamine. In this review paper, different types of perovskites involved for their electrocatalytic properties are described, and the proposed mechanism of detection is presented. The analytical performances obtained for different electroactive molecules are listed and compared with those in terms of the type of perovskite used, its nanostructuration, and its association with other conductive nanomaterials. The analytical performance obtained with perovskites is shown to be better than those of Ni and Co oxide-based electrochemical sensors. Main trends and future challenges for enlarging and improving the use of perovskite-based electrochemical sensors are then discussed.