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What Is the EKG ETF? A Complete Guide to Returns, Expense Ratio, Holdings and Alternative ETFs

Updated August 20, 2026 · First published August 19, 2026

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.

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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.

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How Does the First Trust Nasdaq Lux Digital Health Solutions ETF Invest?

ItemDetails
Tracking indexNasdaq Lux Health Tech Index
Management stylePassive index tracking
Rebalancing frequencyPeriodic adjustments
Distribution frequencyNo distribution history
Total expense ratio0.65%

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
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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.

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First Trust Nasdaq Lux Digital Health Solutions ETF Performance and Trends

1-Year Price Performance
Dividend & Yield
1Y Return +29.3%
52-Week Price Range
$24
Low $16 High $25
vs. low +52.8% vs. high -2.11%

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.

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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

Industry theme focus
Digital health companies at the intersection of medicine and technology can be accessed through a single product.
Index-tracking structure
Holdings are selected according to predetermined index rules rather than a manager's individual stock judgments.
Diverse business exposure
It holds different business areas related to medical services, diagnostics and medical devices together.

⚠️ Points to Watch

Theme concentration risk
It can be more strongly affected by growth expectations and investor sentiment in a specific industry than broad market products are.
Regulatory changes
Shifts in healthcare policy, data protection and product approval environments can affect how related companies are valued.
Holding concentration
Changes in the earnings or competitive environment of major holdings can increase the fund's volatility.
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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.

Peer Comparison ETFs
TickerNamePriceChangeAUMTotal Expense RatioDividend Yield1Y
PPHPPHVanEck Pharmaceutical ETF$114.93-1.8%$1.1B0.36%1.86%+24.3%
TRFKTRFKPacer Data and Digital Revolution ETF$86.63+1.4%$1.0B0.49%0.03%+23.3%
NXTGNXTGFirst Trust Indxx NextG ETF$147.58-0.0%$541.4M0.70%1.34%+36.7%
CLOUCLOUGlobal X Cloud Computing ETF$30.31+2.2%$419.3M0.68%-+27.5%
WQTMWQTMWisdomTree Quantum Computing Fund$27.28-0.3%$304.8M0.45%--3.1%
Top Holdings
TickerNameWeightPriceChangeMarket CapP/EDividend Yield
VEEVVeeva Systems Inc0.16%$323.04+0.1%$52.3B53.1-
IQVIQVIA Holdings Inc0.17%$279.36+0.4%$46.0B34.6-
ISRGIntuitive Surgical Inc0.14%$452.29+1.9%$156.8B54.7-
RMDResmed Inc0.08%$252.86-0.1%$35.6B24.21.05%
DXCMDexcom Inc0.15%$77.94-0.5%$29.4B30.8-
GHGHGuardant Health Inc0.06%$169.08+3.8%$22.7B--
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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.

CheckpointWhat to CheckCurrent Status
Investment themeConfirm whether the digital health theme fits your overall asset allocationReview of investment objective needed
Fee burdenUnderstand how costs accumulate over a long holding periodCheck disclosure documents
Holding concentrationReview major holdings and exposure by industryBe mindful of volatility
Distribution policyCheck whether the distribution history matches your cash flow expectationsNo 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.

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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.

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