The level of detail included in a contract management plan will vary, depending on the nature of the goods or services being purchased. The majority of the information needed to complete the contract management plan will be located in the contract (including the specifications and the contractor's tender documentation).he level of detail included in a contract management plan will vary, depending on the nature of the goods or services being purchased. The majority of the information needed to complete the contract management plan will be located in the contract (including the specifications and the contractor's tender documentation).
Many people with severe mitral valve regurgitation may not have symptoms, yet may still benefit from early mitral valve repair. Signs and symptoms of mitral valve regurgitation, which depend on its severity and how quickly the condition develops, can include: Blood flowing turbulently through your heart (heart murmur)
Mitral valve syndrome is the term for the condition experienced by the small number of people who have symptomatic MVP. Symptoms, which in some cases may be related to leaking of the mitral valve, can include: 1  Chest pain (not caused by coronary artery disease or a heart attack). 2  Dizziness. 3  Fatigue. 4  Sensation of feeling the heart beat (palpitations). 5  Shortness of breath with activity or when lying flat (orthopnea).