in a preferred embodiment of the invention , the piezo material consists of na 0 . 5 k 0 . 5 nbo 3 . this material surprisingly has been found to have excellent properties for the use in implantable sensors . the material thus combines the following properties : mechanical and chemical stability expected to be at least ten years , a d 33 that can exceed 100 pcn − 1 , these properties obviously are well suited for use in the human body and particularly for use in pacers . when the material is used in a sensor in direct contact with tissue , the hardness of the material also has the consequence that clotting and overgrowth will not impair the sensor properties to any large extent . the material has been used in ultrasonic applications and it consequently should be usable also for medical ultrasonic applications . it should be noted that it is possible to provide the material according to the invention with piezoelectrical properties that are better than the corresponding properties of berlinite by a factor of 100 . the piezo material preferably should have a maximum pore size of 4 μm and a maximum grain size of 4 μm . the relative density of the piezo material preferably should exceed 97 % in order to obtain the best piezoelectric properties . in some applications , other properties might more be desirable than the best piezoelectric properties . one example is for instance an electrode for endocardial stimulation / sensing . in this application it may be more desirable to optimize the active surface ( e . g . have a highly porous surface ) than to optimize the piezoelectric properties . the material may be made as a bulk material by means of the hot isostatic pressing methods using sodium carbonate , potassium carbonate and niobium pentoxide as precursors as defined in the following articles from american ceramic society bulletin by egerton — dillon in 42 ( 1959 ) pp438 - 442 , by jaeger — egerton in 45 ( 1962 ) pp209 - 213 and by egerton — bieling in 47 ( 1968 ) pp1151 - 1156 . the material also may be made in the form of films or layers on substrates by means of cathode - sputtering methods as for instance described in margolin et al , “( k , na ) nbo 3 ferroelectric films synthesized by cathode sputtering ”, sov . phys . tech . phys . 33 ( 12 ), december 1988 , or by other suitable thin film techniques . the excellent biocompatible properties of the material is illustrated by the following standard toxicology test . in this test monocytes were cultured on the surface of ( na , k ) nbo 3 , ( ceram ) and on two control surfaces titanium ( ti ) and polystyrene ( ps ). the cytoplasmic enzyme lactate dehydrogenase ( ldh ) is detected extracellularly and is an indicator of the degree of injury inflicted to cells . measurements of ldh were performed on the cellular medium after 23 h and after 46 h . cells can be activated and deteriorated not only by direct material interactions but also by soluble factors , including chemicals released from the material , so therefore the study also examined if there were any bacterial products ( endotoxin ) present in the culture medium before and after the test . the result show that human monocytes in terms of viability are not negatively affected during culture up to 46 hours by the presence of ( na , k ) nbo 3 . fig1 a and 1b illustrate the biocompatibility of the piezomaterials according to the invention by means of the lactate dehydrogenase ( ldh ) activity as [ b — b units / ml ] in the culture medium after 23 and 46 h cultivation of 1 × 10 6 human monocytes , on a ceramic surface ( ceram ), titanium ( ti ) and on tissue culture polystyrene ( ps ). the cells were from two separate blood donors , the results being respectively indicated as exp . 1 ( fig1 a and exp . 2 ( fig1 b ). the values in the diagram are mean values , the standard error mean ( sem ) also being indicated . fig2 shows the ldh activity as μkatal / 1 , in the culture medium after 23 and 46 h cultivation of 1 × 10 6 human monocytes , on a ceramic surface , on titanium and on tissue culture polystyrene . again cells from two separate blood donors were used , the results being respectively indicated as exp . 1 exp . 2 ( fig2 b ). normal levels in human serum are 8 μkatal / 1 . the values are mean values ± sem . fig3 a and 3b show the ldh activity as [ b — b units / ml ), normalized by total amount of dna in wells after 46 h cultivation of 1 × 10 6 human monocytes on a ceramic surface , titanium and on tissue culture polystyrene . cells from two separate blood donors , the results being respectively indicated as exp . 1 ( fig3 a ) and exp . 2 ( fig3 b ). the values are mean values ± sem . fig4 illustrates the control of total ldh activity as [ b — b units / ml ), from dead human monocytes by adding 2 % triton x100 to 1 × 10 5 , 1 × 10 6 and 2 × 10 6 human monocytes . the ldh activity between 500 and 700 corresponds approximately to 0 . 5 - 1 . 5 × 10 5 dead cells . as is evident from these diagrams , the ceramic material according to the invention has a biocompatibility that closely follows that of titanium . in view of the fact that titanium has proved to be one of the most biocompatible materials and in view of the doubtful biocompatibility of known polarizable ceramic ferroelectrics , this is very unexpected in a ceramic ferroelectric . although the test relates to na 0 . 5 k 0 . 5 nbo 3 , it obviously also is valid for niobates with other proportions of na and k . the material may for instance be used as a layer covering the conducting tip on an electrode for sensing / stimulating cardiac tissue , this layer being in direct contact with conducting liquid in blood / tissue . the conducting tip then will function as one plate of a capacitor and the liquid as the other plate , the piezo material being the dielectric . the layer thus will react to a charge applied onto the plates by generating a mechanical force . the layer will also generate a charge if a mechanical force is applied . by these means the cardiac tissue may be stimulated mechanically as well as electrically when a stimulating pulse is applied to the electrode . conversely a pressure variation in the blood or a myocardial contraction will generate a charge that can be utilized for sensing purposes . with reference to fig5 a and 5b , there is shown an electrode 10 for a heart pacemaker . the electrode 10 has a conductor 20 enclosed by an insulator 30 , e . g . silicon rubber . the conductor 20 is at one end in contact with an electrically conductive core 40 , which is covered with a piezoelectric material 50 formed of na 0 . 5 k 0 . 5 nbo 3 . in order to obtain a high capacitance , usually of the order 10 - 100 nf , the layer of piezoelectric material is very thin ( 0 . 1 - 5 μm ). the conductive core 40 and the piezoelectric layer 50 , i . e . the piezoelectric electrode , form the tip of the electrode lead 11 . fig5 a and 5b show a hemispherical and a planar embodiment of the tip respectively , the planar embodiment being more sensitive to how it is placed with respect to the myocardial tissue . in a preferred embodiment the conductor 20 is made of the commonly used alloy mp 3 s and the conductive core 40 of e . g . graphite , titanium , platinum or iridium . the size of the electrode is about the same as for standard electrodes and may for instance vary between 1 - 10 mm 2 . according to another embodiment of the electrode , fig5 c and 5d show a coaxial stimulating and sensing piezoelectric electrode 40 , 50 . the coaxial piezoelectric electrode 40 , 50 is positioned about 1 to 15 cm behind the tip having an endocardial stimulation electrode 200 . this embodiment may e . g . be used in a single lead ddd pacemaker system as disclosed in u . s . pat . no . 5 , 476 , 499 . the tip is thereby screwed into the atrial myocardium and a loop descends into the ventricle and makes contact with the ventricular wall . the design of the lead 11 is such that the ring 100 of the lead 11 is found in the contact area and the ring 10 contains the coaxial piezoelectric electrode 40 , 50 . the lead 11 must have two conductors in this case . one conductor 12 is connected to the tip and atrial part of the ddd pacemaker . the other conductor 13 is connected to the piezoelectric electrode 40 , 50 and the ventricular circuits of the pacemaker . fig5 e shows a schematic equivalent circuit 45 of the above electrodes , whereby the piezoelectric electrode 40 , 50 comprises a voltage source v p and a capacitor c p . the electrode 10 is further characterized by the tip surface 50 . the conductor 13 , 20 electrically connects the electrode to the electronics of the pacemaker . a stimulation pulse delivered to the electrode 10 and thus to the piezo electrode 45 , will change the thickness of the piezoelectric material during the pulse and two pressure waves will be emitted therefrom , there being one pressure wave for each slope of the stimulation wave . the capacitor c p of the piezoelectric electrode 40 , 50 transmits the electrical stimulation pulse to the heart cells . to avoid charging of the piezoelectric material , the material can be doped or contaminated with a conducting material such as carbon . it is conceivable to have different time constants for the charging . a short time constant , for instance 10 - 100 ms , entails that the charge has been dissipated before the mechanical response arrives . in this case , only fast events can be monitored / detected (& gt ; 20 hz ). an alternative is to provide a slow discharge during for instance 1 - 10 seconds , which prevents a cumulative charge , but which permits a relatively low cut - off frequency fg . if the total resistance against leaking over the piezo - material is termed r and the total capacitance is termed c , the following examples can be given : fig6 shows a pulse diagram of a detector input signal generated by the electrode in accordance with an embodiment of the invention and comprising the stimulation pulse , the electrical evoked response a and the electrical signal b corresponding to the mechanical evoked response . consequently , successful heart stimulation will be sensed as two electrical signals by a detector in a pacer . first the muscle cells close to the electrode will generate an electrical signal a immediately after the stimulation pulse related to the triggered ion transport . then the global heart muscle contraction will exert a mechanical pressure on the piezo electrode 45 which generates the second electrical signal b . the electrical signal b arrives within a time window c after a certain time d of the electrical signal a . the time interval d depends on the location of the electrode and on the activity of the autonomic nervous system . however , the time interval d is substantially constant for each individual . the time interval d is approximately 5 to 100 ms if the electrode is located in the ventricle . furthermore , the electrical signal b appears in a relatively narrow time window c , which is approximately 50 ms if the electrode is located in the ventricle . by letting a control unit , e . g . a microprocessor , comprise means for analyzing the detected electrical signals a and b and how they relate to each other and to the stimulation pulse , information regarding the condition of the heart can be obtained . this information therefore can be used as a diagnostic tool for analyzing the condition of the heart . the control unit may obtain information from the dual sensing detector for analyzing the evoked response signals . it is e . g . often difficult to handle fusion beats in pacemakers comprising an autocapture function . a fusion beat is a cardiac depolarization ( atrial or ventricular ) resulting from two foci . in pacing it typically refers to the ecg waveform which results when an intrinsic depolarization and a pacemaker output pulse occur simultaneously and both contribute to the electrical activation of that chamber . another difficulty when analyzing evoked response signals is related to the declining electrode polarization after the stimulation pulse . if the polarization artefact is large , compared to the electrical signal generated by the heart , the control unit may interpret the polarization as a capture . a capture is at hand when the stimulation results in a heart contraction . using this electrode , a new possibility for the control unit to verify capture has been created . if the electrical signal b does not fall within the time interval c , the heart contraction is probably not related to the stimulation pulse . if the electrical signal b arrives before the time window c , a fusion beat is present , or the qrs detector sensitivity is set too low , so that the pacemaker does not inhibit the pacing pulse . if the electrical signal b arrives after the time window c , there is a loss of capture followed by a spontaneously released heart beat . if only the electrical signal a is present , the detector either senses the polarization artefact due to the sensitivity being too high and should be adjusted , i . e . evoked response oversensing , or the patient has a beat with electromechanical dissociation . by analyzing the morphology , i . e . duration and amplitude , of the electric signal b , information regarding the heart contractility can be obtained . for patients with coronary artery disease during angina pectoris , the contractile behavior is changed . with the electrode according to the invention it is possible for the pacemaker to detect this adverse situation and start therapy . the pacing rate should be reduced until the attack is over . this function is especially important for physiologically rate controlled pacemakers such as the ones being controlled by the venous oxygen contents . certain patients have a prolonged or varying time between the atrial stimulation and the atrial evoked electrical response a . by letting the control unit start the a - v timer in a two chamber pacing system after the detection of the electrical signal b corresponding to the mechanical evoked response , instead of after the evoked electrical response , these patients will obtain a more stable heart function . the a - v timer is the timer keeping track of the time elapsed between the atrial electrical response a and the ventricular stimulation v . there are times when the heart in response to a stimulation pulse emits an electrical signal , but does not actually contract ( electromechanical dissociation ). however , the pacemaker still would detect and interpret the electrical signal as an evoked response . the fact that in fact there is no evoked response thus can be determined by means of the electrode according to the invention . since the electrode according to the invention registers both electrical and mechanical evoked response , it can distinguish e . g . hemodynamically stable tachycardias at exercise from a pathological situation . consequently , the electrode according to the invention is suitable for therapy when using an implantable cardiac defibrillator . in an alternative embodiment of the above electrode , the stimulation pulse generator may generate a stimulation pulse that is chopped with a high frequency of e . g . 10 to 100 khz in order to influence the stimulation threshold . due to the chopped stimulation pulse , the piezo sensor generates a series of pressure waves . the piezoelectric electrode 10 may be used together with a defibrillation electrode , either as two separated electrodes , i . e . two leads , or in combination on a single lead , whereby the piezoelectric electrode is placed at the tip of the lead and the intravascular defibrillation electrode is placed behind the piezo electrode 10 . thus an electrode for electrically and mechanically stimulating and detecting evoked response is provided . the electrode may for instance be used for sensing purposes only ( e . g . pressure and / or contraction ) or for stimulating purposes only . those skilled in the art will appreciate that the present invention can be practiced in other ways than by means of the described embodiments , which are presented for purposes of illustration . the implant material may for instance be used in all applications in the body utilizing piezoelectric effects , such as vibrating implanted medication dispensing orifices in order to keep the orifices from clotting .