925 Sterling Silver Lifeline Pulse Heartbeat Open Heart Charm Pendant contemporary handmade vital sign necklace showcasing an heart-shaped charm containing a heart beat pulse on an ekg monitor necklace pendant or bracelet charm expertly 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!