14k Yellow Gold Lifeline Pulse Heartbeat Pendant Open Heart Necklace, 16" trendy vital sign necklace featuring heart pendant containing a pulse charm shaped like a heart beat on an ekg monitor suspended from either ends of its dainty rolo chain exquisitely handcrafted with solid 14 karat yellow gold in perfect polished finish comes with free special gift packaging made in the USA yet offered at factory direct jewelry price ships from the manufacturer directly to the customers