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EKGvsFXHETF Comparison

ETF 1

EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of

Healthcare Technology

-0.08%

Full EKG fund page

VS

ETF 2

FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of

US Health Care

-0.03%

Full FXH fund page

First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. First Trust Health Care AlphaDEX Fund ETF (FXH) is part of the US Health Care segment. EKG's top 3 sector exposures are Health Care and Financials. In contrast, FXH's top sector exposures are Health Care EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.61% for FXH. EKG is down -11.45% year-to-date (YTD) with - in YTD flows. FXH performs better with 0.02% YTD performance, and -$61M in YTD flows. Run a side-by-side ETF comparison of EKG and FXH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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EKG vs FXH performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 04/27/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	EKG FXH	+6.88%+8.51%	-13.72%-2.07%	-11.45%+0.02%	+6.75%+15.45%	-2.00%+6.64%	n/a-0.20%
Flows	EKG FXH	--$5M	--$67M	--$61M	-$25K-$123M	+$1M-$719M	--$505M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	EKG FXH	+25.78%+17.05%	+21.18%+16.21%	+22.93%+15.23%	n/a+16.67%
Max drawdown	EKG FXH	-19.27%-9.86%	-21.99%-12.07%	-34.97%-17.89%	n/a-29.40%
Max drawdown duration	EKG FXH	90d57d	110d110d	563d331d	n/a1694d

Trading data

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	EKG	FXH
Last sale 4/29/2026 at 1:30 PM	$15.97	$111.91
Previous close 04/28/2026	$16.39	$112.31
Consolidated volume 04/28/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of March 31, 2026

1-year trailing difference

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	EKG	FXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 4/29/2026 at 1:30 PM

Live

Closed

	EKG	FXH
Last price	$15.97	$111.91
1D performance	-2.54%	-0.36%
AuM	$2.52 M	$874.42 M
E/R	0.65%	0.61%

Characteristics

	EKG	FXH
Management strategy	Passive	Passive
Provider	First Trust	First Trust
Benchmark	Nasdaq Lux Health Tech Index	StrataQuant Health Care Index
N° of holdings	33	71
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	March 22, 2022	May 8, 2007
ESG	No	No

More EKG data on Trackinsight

More FXH data on Trackinsight

Exposure

Countries

EKG

USA

94.35%

Other

5.65%

FXH

USA

95.47%

Other

4.53%

Sectors

EKG

Health Care

86.01%

Other

13.99%

FXH

Health Care

93.76%

Other

6.24%

Diversification

EKG

Total weight of top 15 holdings out of 15

74.16%

FXH

Total weight of top 15 holdings out of 15

35.37%

Top 15 holdings

Data as of March 31, 2026

EKG

IQVIA HOLDINGS INC

8.48%

VEEVA SYSTEMS IN

8.34%

INTUITIVE SURGICAL

8.11%

RESMED

7.65%

DEXCOM

7.47%

NATERA

4.30%

GUARDANT HEALTH INC

4.27%

ILLUMINA

4.14%

GLOBUS MEDICAL

4.04%

ALIGN TECHNOLOGY

4.00%

INSULET

3.69%

US88023B1035

3.45%

IRHYTHM TECHNOLOGIES

2.14%

HIMS & HERS HEALTH INC

2.13%

OSCAR HEALTH

1.95%

FXH

ACADIA HEALTHCARE COMPANY

3.83%

APELLIS PHARMACEUTICALS

2.95%

PFIZER

2.63%

BIOGEN INC

2.40%

CARDINAL HEALTH

2.37%

HCA HEALTHCARE

2.33%

INCYTE

2.19%

IONIS PHARMACEUTICALS INC

2.18%

INSMED

2.17%

UTD THERAPEUT

2.15%

MERCK & CO INC

2.11%

LILLY

2.04%

NATERA

2.04%

MEDPACE HOLDINGS INC

2.00%

AMGEN-T

1.98%

Frequently asked questions about EKG and FXH

How have the EKG and FXH ETFs performed in 2026?

As of April 27, 2026, EKG is down -11.45% year-to-date (YTD), while FXH has returned 0.02%. That puts FXH better performer ahead so far this year.

Which ETF is attracting more investor money: EKG or FXH?

Year-to-date, the EKG ETF saw - in flows, compared to -$61M for FXH.

Which ETF is more volatile: EKG or FXH?

Over the past year, EKG had a volatility of 21.18%, while FXH experienced 16.21%.

Which ETF is bigger: EKG or FXH?

As of April 27, 2026, EKG holds $2.52 M in assets under management (AUM), while FXH manages $874.42 M.

What sectors do the EKG and FXH ETFs invest in?

EKG leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.

What are the top holdings of the EKG ETF and FXH ETF?

EKG top holdings include IQVIA HOLDINGS INC, VEEVA SYSTEMS IN and INTUITIVE SURGICAL. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.

EKGvsFXHETF Comparison

First Trust Nasdaq Lux Digital Health Solutions ETF

First Trust Health Care AlphaDEX Fund ETF

EKG vs FXH performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

How have the EKG and FXH ETFs performed in 2026?

As of April 27, 2026, EKG is down -11.45% year-to-date (YTD), while FXH has returned 0.02%. That puts FXH better performer ahead so far this year.

Which ETF is attracting more investor money: EKG or FXH?

Year-to-date, the EKG ETF saw - in flows, compared to -$61M for FXH.

Which ETF is more volatile: EKG or FXH?

Over the past year, EKG had a volatility of 21.18%, while FXH experienced 16.21%.

Which ETF is bigger: EKG or FXH?

As of April 27, 2026, EKG holds $2.52 M in assets under management (AUM), while FXH manages $874.42 M.

What sectors do the EKG and FXH ETFs invest in?

EKG leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.

What are the top holdings of the EKG ETF and FXH ETF?

EKG top holdings include IQVIA HOLDINGS INC, VEEVA SYSTEMS IN and INTUITIVE SURGICAL. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.

Which ETF is more diversified: EKG or FXH?

EKG holds 36 securities with 74.16% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 35.37%.

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