The object of the present invention is to disclose a novel optical miniaturized handheld medical device for convenient monitoring and/or data collection of detailed signals on human cardiovascular function. The implementation consists of a number of advanced technologies, including interferometric detection, phase controlled focusing beam steering, auto-tracking scheme and algorism, and integrated optical chip assembly to enhance the devices performance and miniaturization. Briefly, this handheld medical device directs a single or dual output laser beam(s) onto certain skin surface to detect the surface vibration velocity at the point where the laser hits the surface. The skin surface vibrates in response to cardiovascular signals, such as blood pressure pulses, turbulent blood flow through narrowed arteries, pumping actions of the heart, or the closure of the heart valves etc. The miniaturized apparatus thus is capable of detecting these signals for the assessment of cardiovascular functions in both healthy and disease conditions.