is the level of heart rate in patient 9241 second measured on the last intensive care unit visit less than the value first measured on the last intensive care unit visit?
select ( select chartevents.valuenum 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 = 9241 ) and icustays.outtime is not null order by icustays.intime desc limit 1 ) and chartevents.itemid in ( select d_items.itemid from d_items where d_items.label = 'heart rate' and d_items.linksto = 'chartevents' ) order by chartevents.charttime asc limit 1 offset 1 ) < ( select chartevents.valuenum 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 = 9241 ) and icustays.outtime is not null order by icustays.intime desc limit 1 ) and chartevents.itemid in ( select d_items.itemid from d_items where d_items.label = 'heart rate' and d_items.linksto = 'chartevents' ) order by chartevents.charttime asc limit 1 )