Glitter enamel on die struck nickel plated brass. Clutch back for attaching to clothing Large pin design at 1 1/8 inches long. February is American Heart Month Heart disease is the leading cause of death in the United States. Women account for 47.1% of deaths related to heart disease. Wearing a red dress symbolizes that the fact that heart disease kills. The Red Dress Pin is a symbol to promote the awareness of American Heart Month and National Wear Red Day. This beautiful 1-1/8" Glitter Enamel Pin, comes with a standard clutch back and is individually poly-bagged.