| CPC A61B 8/485 (2013.01) [A61B 8/0883 (2013.01); A61B 8/5223 (2013.01); A61B 8/543 (2013.01); G01S 7/52042 (2013.01)] | 10 Claims |

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1. A cardiac device comprising:
a transmitter arranged to transmit at least one transmission wave;
a probe arranged to measure a plurality of shear waves caused by the at least one transmission wave;
a detector arranged to detect a systole phase in an electrocardiographic signal; and
at least one a processor configured to determine, during at least one cardiac cycle, a propagation velocity of the plurality of shear waves caused by the at least one transmission wave in several directions towards a heart of a patient, to determine, among said plurality of shear waves and using the detector, a shear wave which has a maximum propagation velocity during the systole phase, and to derive an active cardiac stress from said maximum propagation velocity.
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