Schema:
CREATE TABLE d_labitems (
    row_id number,
    itemid number,
    label text
)

CREATE TABLE procedures_icd (
    row_id number,
    subject_id number,
    hadm_id number,
    icd9_code text,
    charttime time
)

CREATE TABLE admissions (
    row_id number,
    subject_id number,
    hadm_id number,
    admittime time,
    dischtime time,
    admission_type text,
    admission_location text,
    discharge_location text,
    insurance text,
    language text,
    marital_status text,
    ethnicity text,
    age number
)

CREATE TABLE transfers (
    row_id number,
    subject_id number,
    hadm_id number,
    icustay_id number,
    eventtype text,
    careunit text,
    wardid number,
    intime time,
    outtime time
)

CREATE TABLE inputevents_cv (
    row_id number,
    subject_id number,
    hadm_id number,
    icustay_id number,
    charttime time,
    itemid number,
    amount number
)

CREATE TABLE chartevents (
    row_id number,
    subject_id number,
    hadm_id number,
    icustay_id number,
    itemid number,
    charttime time,
    valuenum number,
    valueuom text
)

CREATE TABLE outputevents (
    row_id number,
    subject_id number,
    hadm_id number,
    icustay_id number,
    charttime time,
    itemid number,
    value number
)

CREATE TABLE microbiologyevents (
    row_id number,
    subject_id number,
    hadm_id number,
    charttime time,
    spec_type_desc text,
    org_name text
)

CREATE TABLE cost (
    row_id number,
    subject_id number,
    hadm_id number,
    event_type text,
    event_id number,
    chargetime time,
    cost number
)

CREATE TABLE labevents (
    row_id number,
    subject_id number,
    hadm_id number,
    itemid number,
    charttime time,
    valuenum number,
    valueuom text
)

CREATE TABLE d_items (
    row_id number,
    itemid number,
    label text,
    linksto text
)

CREATE TABLE diagnoses_icd (
    row_id number,
    subject_id number,
    hadm_id number,
    icd9_code text,
    charttime time
)

CREATE TABLE d_icd_diagnoses (
    row_id number,
    icd9_code text,
    short_title text,
    long_title text
)

CREATE TABLE d_icd_procedures (
    row_id number,
    icd9_code text,
    short_title text,
    long_title text
)

CREATE TABLE prescriptions (
    row_id number,
    subject_id number,
    hadm_id number,
    startdate time,
    enddate time,
    drug text,
    dose_val_rx text,
    dose_unit_rx text,
    route text
)

CREATE TABLE patients (
    row_id number,
    subject_id number,
    gender text,
    dob time,
    dod time
)

CREATE TABLE icustays (
    row_id number,
    subject_id number,
    hadm_id number,
    icustay_id number,
    first_careunit text,
    last_careunit text,
    first_wardid number,
    last_wardid number,
    intime time,
    outtime time
)

Question: how much are patient 5252's differences in heart rate second measured on the first intensive care unit visit compared to the value first measured on the first intensive care unit visit?

SQL:
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 = 5252) AND NOT icustays.outtime IS NULL ORDER BY icustays.intime 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 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 = 5252) AND NOT icustays.outtime IS NULL ORDER BY icustays.intime 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 LIMIT 1)