14k Yellow Gold Lifeline Pulse Pendant Heartbeat Necklace with Natural Diamonds trendy vital sign charm necklace featuring pendant shaped like a heart beat on an ekg monitor suspended from either ends of its dainty chain finely crafted with solid 14 karat yellow gold in perfect polished finish and individually hand-set with natural white diamonds 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