Patient W has experienced a sudden loss in endurance over th…

Patient W has experienced a sudden loss in endurance over the past several months. His cardiac output is strong, but his heart rate is much higher than normal. His alveolar PO2 is about 150 mmHg, higher than normal, and he is breathing hard all of the time. His alveolar PCO2 is 20 mm Hg, lower than normal. His arterial PO2 is lower than normal, as is his arterial percent hemoglobin saturation (which is below 70%). Which of the following is most likely to be a cause of these symptoms.