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.
Mitral valve syndrome is the term for the condition experienced by the small number of people who have symptomatic MVP. Symptoms, which in some cases may be related to leaking of the mitral valve, can include: 1  Chest pain (not caused by coronary artery disease or a heart attack). 2  Dizziness. 3  Fatigue. 4  Sensation of feeling the heart beat (palpitations). 5  Shortness of breath with activity or when lying flat (orthopnea).