A critically ill adult patient has the following hemodynamic values: right atrial pressure (RAP) 12 mmHg, pulmonary artery pressure (PAP) 52/24 mmHg, pulmonary artery occlusion pressure (PAOP) 20 mmHg, cardiac output (CO) 4.0 L/min, systemic vascular resistance (SVR) 1800 dynes??sec??cm. Which findings are most consistent with these values? (Choose two.)