<accent>

<note default-x="36"> <pitch> <step>A</step> <octave>4</octave> </pitch> <duration>4</duration> <voice>1</voice> <type>half</type> <stem default-y="10">up</stem> <notations> <articulations> <accent default-x="-1" default-y="-55" placement="below"/> </articulations> </notations> </note>