<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>