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.
Treatment of mitral valve regurgitation depends on how severe your condition is, whether it's getting worse and whether you have symptoms. For mild leakage, treatment may not be necessary. You may need heart surgery to repair or replace the valve for severe leakage or regurgitation.Left untreated, severe mitral valve regurgitation can cause heart failure or heart rhythm problems (arrhythmias).or mild leakage, treatment may not be necessary. You may need heart surgery to repair or replace the valve for severe leakage or regurgitation. Left untreated, severe mitral valve regurgitation can cause heart failure or heart rhythm problems (arrhythmias).