This is such a meaningful and modern piece of jewelry. The pendant combines two beautiful symbols: a delicate open heart and a lifeline EKG heartbeat pulse line, all handcrafted from solid 14k white gold. The contrast between the smooth heart and the textured pulse line is really striking. It hangs from a classic 22-inch rolo chain, which is a perfect everyday length. The whole piece is polished to a brilliant shine. It's made right here in the USA and comes in lovely gift packaging, making it ready to give. This necklace is perfect for so many occasions – a romantic gift for an anniversary or Valentine's Day, a thoughtful present for a nurse or doctor, a symbol of love for a mother, or a self-purchase to celebrate life and health. It's dainty enough for daily wear but carries a powerful message. A timeless yet trendy piece you'll cherish.