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.
1 Mitral valve prolapse (mitral valve prolapse) is the most common heart valve abnormality. 2  Most patients with mitral valve prolapse have no symptoms and require no treatment. 3  Mitral valve prolapse can be associated with fatigue and/or palpitations. Most patients with mitral valve prolapse have no symptoms and require no treatment. 2  Mitral valve prolapse can be associated with fatigue and/or palpitations. 3  Mitral valve prolapse can often be detected by a doctor during examination of the heart.