Milrinone (MIL) is an essential cardiac inotrope drug for cardiovascular disease. In this study, a simple nanosensor based on a nanodiamond carbon paste electrode modified with flower-like ZnO particles was developed to determine MIL electrochemically rapidly and accurately. The flower-like ZnO nanoparticles were synthesized by a simple and cheap sonochemical method. The structure and morphology of the ZnO nanoparticles were investigated by Fourier transform infrared spectrometer and scanning electron microscopy. The electron transfer properties of bare carbon paste electrodes, nD@CPE, CPE/ZnO, and flower-like carbon paste electrodes modified with ZnO and decorated with nanodiamonds (nD@CPE/ZnO) were investigated by cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS). ...