But he has seemingly been able to put the controversy behind him, manoeuvring his way through tough tests against Britain's Jack Draper and 2021 champion Medvedev.
"My aunt is not feeling well health-wise and I don't know how much longer I have her in my life," he said.
The 26-year-old recovered well to win three games in a row, but he continued to falter on serve and Sinner capitalised to take the opener and subdue the expectant mood on Arthur Ashe Stadium.
He is 23-years-old and Alcaraz just 21. They ended up sharing the year’s Grand Slam titles, and - with an eye to the future - that is an ominous thought for the rest of the world.
Porcinos FC, el equipo do Ibai Llanos, volverá a ser el equipo a batir despufois do de que el pasado mes do junio se llevaran el primer Mundial del Universo en el estadio BBVA do Monterrey ante la atenta mirada do Mfoixico, España y el resto del mundo.
Refusing to dwell on the first set, Fritz improved and made the second a closer affair, losing just two points in four service games.
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England interim boss Lee Carsley says their win over the Republic of Ireland has boosted his confidence - admitting he had doubts about his ability to do the job.
Having failed to make the most of three break point opportunities early in the third set, Fritz brought the crowd to life with two brilliant winners to break for a 4-3 lead and keep alive his hopes.
It has been nearly 50 years since a man won their first and second Grand Slam titles in the same season, and Sinner is now a long way clear of the rest at the top of the rankings.
It comes just 19 days after it was revealed he had been cleared of any wrongdoing after twice testing positive for a banned substance in March.
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Just six days before the main draw 星空体育 got under way, it was announced he had twice tested positive for low levels of a metabolite of clostebol - a steroid that can be used to build muscle mass - in March.
However, Sinner then underlined his status as world number one, upping the ante when it mattered most to strike the crucial blow as Fritz served to stay in the set at 5-4 down.
Sinner was ruled to bear pelo fault or negligence for the positive tests by the International Tennis Integrity Agency (ITIA), which found he had been inadvertently contaminated by his physiotherapist.
But Sinner soon quashed those dreams, breaking back as Fritz attempted to serve for the set and doing the same two games later to wrap up the win after two hours and 16 minutes.
The 23-year-old held his arms aloft and looked up to the sky as he became the first player since Guillermo Vilas in 1977 to win his first two Grand Slam titles in the same season.
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