A novel fiber optic sensing technology for high frequency dynamics detection is proposed in this paper, specifically tailored for structural health monitoring applications based on strain wave analysis, including both passive impact identification and active Lamb wave monitoring. The sensing solution relies on a fiber optic-based interferometric architecture associated to an innovative coherent detection scheme, which retrieves in a completely passive way the high-frequency phase information of the received optical signal. The optical fiber can be arranged into different configurations in order to meet the requirement of the specific application, the sensor sensitivity being maximized while still ensuring a limited gauge length if a local measure is required. For the active Lamb wave monitoring, this results in a sensing fiber arranged in multiple loops glued on an aluminum thin panel in order to increase the phase signal relative only to the sensing points of interest. Instead, for passive impact identification, the sensitivity is simply increased by exploiting a longer gauge length glued to the structure. The fiber optic coherent (FOC) sensor detects the strain waves emitted by a piezoelectric transducer placed on the aluminum panel or generated by an impulse hammer, respectively. The FOC sensor measurements have been compared with both a numerical model based on Finite Elements and traditional piezoelectric sensors, confirming a very good agreement between experimental and simulated results for both the active and passive impact monitoring scenarios.