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)
Causes of mitral valve disease include: 1  Infection: Serious or untreated infections can weaken the mitral valve and cause mitral valve stenosis or mitral valve regurgitation. These infections include rheumatic fever (a complication of untreated strep throat) and endocarditis (inflammation of the heartâs lining).