Fine 14k White Gold Lifeline Pulse Heartbeat Charm Open Heart Pendant Necklace, 18" trendy handmade vital sign necklace showcasing an heart-shaped charm containing a heart beat pulse on an ekg monitor dangling from a thin yet durable rolo chain expertly handcrafted with solid 14 karat white 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