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).
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.
1 Mitral valve prolapse (mitral valve prolapse) is the most common heart valve abnormality. 2  Most patients with mitral valve prolapse have no symptoms and require no treatment. 3  Mitral valve prolapse can be associated with fatigue and/or palpitations.hen MVP does cause signs and symptoms, they may include: 1  Palpitations (feelings that your heart is skipping a beat, fluttering, or beating too hard or too fast). 2  Shortness of breath. 3  Cough. 4  Fatigue (tiredness), dizziness, or anxiety. 5  Migraine headaches. 6  Chest discomfort.