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)
However, when the amount of leakage through the valve becomes excessive, symptoms develop. These include chest pain, fatigue, shortness of breath, dizziness or fainting spells. Other heart conditions also can cause a leaky mitral valve, the most common of which is myocardial infarction, or heart attack. If a heart attack occurs in the portion of the heart where the mitral valve is attached, then the valve becomes dysfunctional and starts to leak.