What Is the EKG ETF? A Complete Guide to Returns, Expense Ratio, Holdings and Alternative ETFs
The First Trust Nasdaq Lux Digital Health Solutions ETF, known as the EKG ETF, targets the intersection of digital health technology and medical services. For investors who want to review its holdings, its lack of distribution history and the outlook for the theme, this guide explains how the index-tracking approach works and where concentration risk lies.
What Is the First Trust Nasdaq Lux Digital Health Solutions ETF?
The First Trust Nasdaq Lux Digital Health Solutions ETF tracks the Nasdaq Lux Health Tech Index and provides exposure to companies that run digital health businesses at the intersection of medical services and technology. The business conditions of major holdings such as VEEV, IQV, ISRG, RMD and DXCM can also influence the fund's performance.
It focuses on structural change in digital medical technology and services rather than healthcare as a whole, which makes it suitable for investors who can tolerate the volatility of thematic equities.
This is a passive (index-tracking) ETF managed by First Trust.
How Does the First Trust Nasdaq Lux Digital Health Solutions ETF Invest?
| Item | Details |
|---|---|
| Tracking index | Nasdaq Lux Health Tech Index |
| Management style | Passive index tracking |
| Rebalancing frequency | Periodic adjustments |
| Distribution frequency | No distribution history |
| Total expense ratio | 0.65% |
The fund uses an index-based method to hold companies classified in the digital health sector whose businesses relate to medical services, diagnostics, medical devices and the use of healthcare information. Because it follows index construction rules rather than individual stock picking, both growth expectations in the industry and regulatory changes can be reflected in the portfolio.
- Focus on the intersection of digital health and medical services
- Holdings and weights are adjusted periodically according to index rules
First Trust Nasdaq Lux Digital Health Solutions ETF Size and Costs (AUM and Management Fee)
Assets under management (AUM) stand at $9.6M, and the total expense ratio (Expense Ratio) is 0.65% per year.
Because trading conditions for thematic products can vary with market participation and the liquidity environment, it is worth checking the bid-ask spread and order types before trading.
First Trust Nasdaq Lux Digital Health Solutions ETF Performance and Trends
Share prices of digital health companies can be highly sensitive to demand for medical services, the pace of technology adoption, and news on clinical and regulatory matters. As a result, the fund may perform strongly when growth expectations for individual companies are rising, but volatility can widen when earnings expectations fall or policy uncertainty increases.
This fund focuses on a specific industry theme rather than a broad healthcare index. In the market, changes surrounding the adoption of innovative medical services, demand for healthcare cost management and the data-use environment can affect fund flows, and in risk-off phases there is also a possibility that exposure to the theme will be reduced.
First Trust Nasdaq Lux Digital Health Solutions ETF Pros and Cons
Concentrated access to the digital health industry is a strength, but investors should be mindful of volatility driven by changes in the sector and in its major holdings.
💪 Key Strengths
⚠️ Points to Watch
First Trust Nasdaq Lux Digital Health Solutions ETF Alternative and Related ETFs
The TRFK ETF shown in the table covers data and digital innovation broadly, so its industry scope differs from the healthcare-centered EKG ETF. The PPH ETF focuses on the pharmaceutical industry, and the NXTG ETF reflects the next-generation telecommunications theme. The CLOU ETF provides exposure to cloud computing, while the WQTM ETF covers the quantum computing theme. These products therefore share digital technology as a common thread, but they differ in the weight of healthcare businesses and in their risk factors.
| Ticker | Name | Price | Change | AUM | Total Expense Ratio | Dividend Yield | 1Y |
|---|---|---|---|---|---|---|---|
| VanEck Pharmaceutical ETF | $114.93 | -1.8% | $1.1B | 0.36% | 1.86% | +24.3% | |
| Pacer Data and Digital Revolution ETF | $86.63 | +1.4% | $1.0B | 0.49% | 0.03% | +23.3% | |
| First Trust Indxx NextG ETF | $147.58 | -0.0% | $541.4M | 0.70% | 1.34% | +36.7% | |
| Global X Cloud Computing ETF | $30.31 | +2.2% | $419.3M | 0.68% | - | +27.5% | |
| WisdomTree Quantum Computing Fund | $27.28 | -0.3% | $304.8M | 0.45% | - | -3.1% |
| Ticker | Name | Weight | Price | Change | Market Cap | P/E | Dividend Yield |
|---|---|---|---|---|---|---|---|
| VEEV | Veeva Systems Inc | 0.16% | $323.04 | +0.1% | $52.3B | 53.1 | - |
| IQV | IQVIA Holdings Inc | 0.17% | $279.36 | +0.4% | $46.0B | 34.6 | - |
| ISRG | Intuitive Surgical Inc | 0.14% | $452.29 | +1.9% | $156.8B | 54.7 | - |
| RMD | Resmed Inc | 0.08% | $252.86 | -0.1% | $35.6B | 24.2 | 1.05% |
| DXCM | Dexcom Inc | 0.15% | $77.94 | -0.5% | $29.4B | 30.8 | - |
| Guardant Health Inc | 0.06% | $169.08 | +3.8% | $22.7B | - | - |
First Trust Nasdaq Lux Digital Health Solutions ETF Investor Checkpoints
Before investing in the EKG ETF, first consider the role the digital health theme would play in your overall asset allocation. It is necessary to check not only growth expectations for the industry but also regulation, holding concentration, trading conditions and distribution history.
| Checkpoint | What to Check | Current Status |
|---|---|---|
| Investment theme | Confirm whether the digital health theme fits your overall asset allocation | Review of investment objective needed |
| Fee burden | Understand how costs accumulate over a long holding period | Check disclosure documents |
| Holding concentration | Review major holdings and exposure by industry | Be mindful of volatility |
| Distribution policy | Check whether the distribution history matches your cash flow expectations | No distribution history |
The digital health industry can be affected by technological change, intensifying competition, medical regulation and data protection requirements. Given the nature of thematic investing, price swings can grow when the market shifts toward risk aversion or when the business outlook of major holdings weakens, and exchange rate movements can also affect performance in Korean won terms.
The EKG ETF is an index-tracking product that can be used by those who want to hold the digital health sector separately. However, its exposure differs from that of broad healthcare products, so it is necessary to check the degree of theme concentration, the lack of distribution history and trading conditions before deciding on its weight within the overall portfolio.
Disclaimer: This content is for informational purposes only and does not constitute investment advice. All investment responsibility lies with the investor.
This article reflects information as of August 20, 2026.