EKG vs. BTEC

Last updated Jun 4, 2026

EKG (First Trust Nasdaq Lux Digital Health Solutions ETF) and BTEC (Principal Healthcare Innovators Index ETF) are both Health & Biotech Equities funds - EKG tracks the NASDAQ Lux Health Tech Index while BTEC tracks the NASDAQ U.S. Health Care Innovators Index. Both are passively managed. EKG charges 0.65%/yr vs 0.42%/yr for BTEC.

Performance

EKG vs. BTEC - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) and Principal Healthcare Innovators Index ETF (BTEC). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

EKG

• 1D: -0.20%
• 1M: 2.98%
• YTD: -10.11%
• 6M: -12.99%
• 1Y: -0.93%
• 3Y*: -0.66%
• 5Y*: —
• 10Y*: —

BTEC

• 1D: 0.00%
• 1M: 0.00%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

EKG vs. BTEC - Yearly Performance Comparison

	2026 (YTD)
EKG First Trust Nasdaq Lux Digital Health Solutions ETF	-4.48%
BTEC Principal Healthcare Innovators Index ETF	0.00%

EKG vs. BTEC - Sectors Allocation Comparison

Sectors	EKG	BTEC
Healthcare	94.9%	99.4%
Technology	2.6%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	0.6%
Real Estate	-	-
Utilities	-	-

Return for Risk

EKG vs. BTEC — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

EKG

EKG Risk / Return Rank: 8
EKG Sharpe Ratio Rank: 8
EKG Sortino Ratio Rank: 8
EKG Omega Ratio Rank: 8
EKG Calmar Ratio Rank: 8
EKG Martin Ratio Rank: 8

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

EKG vs. BTEC - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) and Principal Healthcare Innovators Index ETF (BTEC). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	EKG	BTEC	Difference
Sharpe ratio: Return per unit of total volatility	-0.04	—	—
Sortino ratio: Return per unit of downside risk	0.09	—	—
Omega ratio: Gain probability vs. loss probability	1.01	—	—
Calmar ratio: Return relative to maximum drawdown	-0.04	—	—
Martin ratio: Return relative to average drawdown	-0.10	—	—
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

Sharpe Ratios by Period

	EKG	BTEC	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.04	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	-0.13	—	—

Drawdowns

EKG vs. BTEC - Drawdown Comparison

The maximum EKG drawdown since its inception was -43.82%, which is greater than BTEC's maximum drawdown of 0.00%. Use the drawdown chart below to compare losses from any high point for EKG and BTEC.

Drawdown Indicators

	EKG	BTEC	Difference
Max Drawdown Largest peak-to-trough decline	-43.82%	0.00%	-43.82%
Max Drawdown (1Y) Largest decline over 1 year	-22.09%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-34.49%	—	—
Current Drawdown Current decline from peak	-20.78%	0.00%	-20.78%
Average Drawdown Average peak-to-trough decline	-22.66%	0.00%	-22.66%
Ulcer Index Depth and duration of drawdowns from previous peaks	9.73%	—	—

Volatility

Volatility by Period

	EKG	BTEC	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.09%	—	—
Volatility (6M) Calculated over the trailing 6-month period	16.42%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	21.57%	0.00%	+21.57%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	27.07%	0.00%	+27.07%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	27.07%	0.00%	+27.07%

EKG vs. BTEC - Expense Ratio Comparison

EKG has a 0.65% expense ratio, which is higher than BTEC's 0.42% expense ratio.

Dividends

EKG vs. BTEC - Dividend Comparison

Neither EKG nor BTEC has paid dividends to shareholders.

Tickers have no history of dividend payments

Frequently Asked Questions

Which ETF is better, EKG or BTEC?

On fees, BTEC is cheaper at 0.42% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, EKG or BTEC?

BTEC is cheaper with a 0.42% expense ratio, compared with 0.65% for EKG.

Which ETF pays a higher dividend yield, EKG or BTEC?

EKG and BTEC have nearly identical dividend yields, around 0.00%.

What is the main difference between EKG and BTEC?

EKG tracks NASDAQ Lux Health Tech Index, while BTEC tracks NASDAQ U.S. Health Care Innovators Index. They also come from different issuers: First Trust and Principal. Their fees differ too: 0.65% for EKG and 0.42% for BTEC.