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).
Symptoms of acute mitral valve regurgitation appear suddenly. Most people who develop acute MR are already in the hospital or emergency room because of another heart problem. Symptoms include severe shortness of breath, fast heart rate, lightheadedness, weakness, confusion, and chest pain.
Although mitral valve stenosis is a lifelong disease, symptoms may not happen for many years. Early symptoms are often mild. In the later stages, the left atrium may become damaged, causing more severe symptoms. Symptoms of mitral valve stenosis include: Shortness of breath. Fatigue or weakness. A pounding heart (palpitations). Coughing up blood. An irregular heart rhythm (because of heart failure from stenosis). Other less common symptoms include: