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)
Some people may be born with mitral valve abnormalities (congenital). A faulty or failing mitral valve may cause symptoms such as cough, shortness of breath, swollen feet or legs, chest pain, fatigue, and lightheadedness. Symptoms typically appear or worsen when your heart rate increases (such as during exercise) and may be triggered by an infection or pregnancy.