EKG vs. FTXL

Last updated Jun 25, 2026

EKG (First Trust Nasdaq Lux Digital Health Solutions ETF) and FTXL (First Trust Nasdaq Semiconductor ETF) are both exchange-traded funds - EKG is a Health & Biotech Equities fund tracking the NASDAQ Lux Health Tech Index, while FTXL is a Semiconductors fund tracking the Nasdaq U.S. Smart Semiconductor Index. Both are passively managed. Over the past 3 years, EKG returned 0.88%/yr vs 59.62%/yr for FTXL. A 0.53 correlation means they provide meaningful diversification when combined. EKG charges 0.65%/yr vs 0.60%/yr for FTXL.

Performance

EKG vs. FTXL - 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 First Trust Nasdaq Semiconductor ETF (FTXL). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, EKG achieves a -4.18% return, which is significantly lower than FTXL's 109.64% return.

EKG

• 1D: 3.43%
• 1M: 9.19%
• YTD: -4.18%
• 6M: -5.58%
• 1Y: 4.48%
• 3Y*: 0.88%
• 5Y*: —
• 10Y*: —

FTXL

• 1D: -0.65%
• 1M: 9.52%
• YTD: 109.64%
• 6M: 106.11%
• 1Y: 187.31%
• 3Y*: 59.62%
• 5Y*: 33.21%
• 10Y*: —

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

EKG vs. FTXL - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022
EKG First Trust Nasdaq Lux Digital Health Solutions ETF	-4.18%	11.89%	6.53%	-0.11%	-20.15%
FTXL First Trust Nasdaq Semiconductor ETF	109.64%	48.94%	7.59%	54.41%	-23.69%

Correlation

The correlation between EKG and FTXL is 0.29, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.29
Correlation (3Y) Calculated over the trailing 3-year period	0.47
Correlation (All Time) Calculated using the full available price history since Mar 23, 2022	0.53

Over the past year, the correlation between EKG and FTXL has dropped to 0.29 - well below their long-term average of 0.53, suggesting their price drivers have been diverging.

EKG vs. FTXL - Sectors Allocation Comparison

Sectors	EKG	FTXL
Healthcare	94.9%	-
Technology	2.6%	99.7%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	0.3%
Real Estate	-	-
Utilities	-	-

Return for Risk

EKG vs. FTXL — Risk / Return Rank

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

EKG

EKG Risk / Return Rank: 11
EKG Sharpe Ratio Rank: 12
EKG Sortino Ratio Rank: 11
EKG Omega Ratio Rank: 11
EKG Calmar Ratio Rank: 11
EKG Martin Ratio Rank: 11

FTXL

FTXL Risk / Return Rank: 96
FTXL Sharpe Ratio Rank: 98
FTXL Sortino Ratio Rank: 94
FTXL Omega Ratio Rank: 94
FTXL Calmar Ratio Rank: 98
FTXL Martin Ratio Rank: 98

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. FTXL - 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 First Trust Nasdaq Semiconductor ETF (FTXL). 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.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	EKG	FTXL	Difference
Sharpe ratio: Return per unit of total volatility	0.20	4.62	-4.42
Sortino ratio: Return per unit of downside risk	0.44	4.34	-3.90
Omega ratio: Gain probability vs. loss probability	1.05	1.61	-0.56
Calmar ratio: Return relative to maximum drawdown	0.20	12.99	-12.79
Martin ratio: Return relative to average drawdown	0.44	44.59	-44.15

EKG vs. FTXL - Sharpe Ratio Comparison

The current EKG Sharpe Ratio is 0.20, which is lower than the FTXL Sharpe Ratio of 4.62. The chart below compares the historical Sharpe Ratios of EKG and FTXL, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

EKG vs. FTXL - Drawdown Comparison

The maximum EKG drawdown since its inception was -43.82%, roughly equal to the maximum FTXL drawdown of -43.87%. Use the drawdown chart below to compare losses from any high point for EKG and FTXL.

Drawdown Indicators

	EKG	FTXL	Difference
Max Drawdown Largest peak-to-trough decline	-43.82%	-43.87%	+0.05%
Max Drawdown (1Y) Largest decline over 1 year	-22.09%	-14.51%	-7.58%
Max Drawdown (3Y) Largest decline over 3 years	-34.49%	-41.57%	+7.08%
Max Drawdown (5Y) Largest decline over 5 years	—	-43.87%	—
Current Drawdown Current decline from peak	-15.56%	-8.59%	-6.97%
Average Drawdown Average peak-to-trough decline	-22.59%	-10.53%	-12.06%
Ulcer Index Depth and duration of drawdowns from previous peaks	10.19%	4.22%	+5.97%

Volatility

EKG vs. FTXL - Volatility Comparison

The current volatility for First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) is 8.59%, while First Trust Nasdaq Semiconductor ETF (FTXL) has a volatility of 22.63%. This indicates that EKG experiences smaller price fluctuations and is considered to be less risky than FTXL based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	EKG	FTXL	Difference
Volatility (1M) Calculated over the trailing 1-month period	8.59%	22.63%	-14.04%
Volatility (6M) Calculated over the trailing 6-month period	17.85%	34.58%	-16.73%
Volatility (1Y) Calculated over the trailing 1-year period	22.47%	40.92%	-18.45%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	27.12%	37.11%	-9.99%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	27.12%	34.76%	-7.64%

EKG vs. FTXL - Expense Ratio Comparison

EKG has a 0.65% expense ratio, which is higher than FTXL's 0.60% expense ratio.

Dividends

EKG vs. FTXL - Dividend Comparison

EKG has not paid dividends to shareholders, while FTXL's dividend yield for the trailing twelve months is around 0.13%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016
EKG First Trust Nasdaq Lux Digital Health Solutions ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
FTXL First Trust Nasdaq Semiconductor ETF	0.13%	0.28%	0.54%	0.60%	0.89%	0.25%	0.48%	0.92%	0.71%	0.47%	0.12%

Frequently Asked Questions

Can I hold both EKG and FTXL in my portfolio?

EKG and FTXL have a correlation of 0.29, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, EKG or FTXL?

FTXL has higher volatility (22.63%) compared to EKG (8.59%). In terms of maximum drawdown, EKG dropped -43.82% vs FTXL's -43.87%.

Which ETF is better, EKG or FTXL?

On 3-year performance, FTXL leads with 59.62% vs 0.88% for EKG. On fees, FTXL is cheaper at 0.60% per year. On volatility, EKG has been the lower-risk option at 8.59%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, EKG or FTXL?

Over the 3-year period, FTXL has performed better with a 59.62% return vs 0.88%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, EKG or FTXL?

FTXL is cheaper with a 0.60% expense ratio, compared with 0.65% for EKG.

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

FTXL has the higher dividend yield at 0.13%, compared with 0.00% for EKG.

What is the main difference between EKG and FTXL?

EKG is categorized as Health & Biotech Equities, while FTXL is Semiconductors. EKG tracks NASDAQ Lux Health Tech Index, while FTXL tracks Nasdaq U.S. Smart Semiconductor Index. Their fees differ too: 0.65% for EKG and 0.60% for FTXL.

Which has better risk-adjusted returns?

FTXL currently has the higher Sharpe Ratio (4.62 vs 0.20), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.