925 Sterling Silver Lifeline Pulse Heartbeat Charm Open Heart Pendant Necklace vivacious handmade vital sign necklace showcasing an heart-shaped charm right next to a heart beat pulse on an ekg monitor suspended from either ends of its dainty rolo chain intricately handcrafted with authentic 925 sterling silver 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 You can return this item for any reason and get a full refund: no shipping charges. The item must be returned in new and unused condition. Go to Your Orders to start the return Print the return shipping label Ship it!