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)
Mitral valve prolapse does not always lead to regurgitation. In fact, many people who have mitral valve prolapse never develop severe leaking of the mitral valve. The risk of developing a leaky mitral valve increases as we age because the valve is prone to wear and tear over time. The valve leaflets can be damaged or stretched out to the extent they donât close properly, allowing blood to leak back into the heart.