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.
Mitral stenosis, mitral regurgitation and mitral valve prolapse are all defects of the heart's mitral valve. The heart is a two-sided pump with four chambers. Four valves control the flow of blood through the heart.roblems with the mitral valve include: 1  Mitral stenosis: The leaflets are fused, are too thick, or there is some other structural defect in the valve leaflets. 2  Sometimes, mitral stenosis occurs as a result of surgery to repair an abnormal mitral valve.