This beautiful 1-1/8" Glitter Enamel Pin, is die struck, enamel color filled and gold plated. It comes with a standard clutch back and is individually poly-bagged. Did you know that heart disease is the leading cause of death in the United States, especially in Women? The Red Dress Pin is a symbol 1st promoted by The First Lady Laura Bush and is used to promote the awareness of American Heart Month and National Wear Red Day. Wear on your lapel, hat or lanyard to give yourself special recognition, for a loved one battling heart disease or in memory of someone special.