when was the last time that patient 19473 had a heart rate that was less than 66.0?
select chartevents.charttime from chartevents where chartevents.icustay_id in ( select icustays.icustay_id from icustays where icustays.hadm_id in ( select admissions.hadm_id from admissions where admissions.subject_id = 19473 ) ) and chartevents.itemid in ( select d_items.itemid from d_items where d_items.label = 'heart rate' and d_items.linksto = 'chartevents' ) and chartevents.valuenum < 66.0 order by chartevents.charttime desc limit 1