Carlos Alcaraz won the Cincinnati Open after top seed Jannik Sinner retired as he was feeling unwell on Monday, raising concerns about the Italian's fitness just days before he is due to begin the defence of his U.

The latest chapter of the Jannik Sinner-Carlos Alcaraz rivalry took a stunning turn on Monday when world No. 1 Sinner retired in the first set of the Cincinnati Open final due to an unspecified health issue.

Sinner retired with apparent illness in the first set of Monday's Cincinnati Open final against Alcaraz after digging a 5-0 deficit. Sinner remained on the court for the trophy ceremony and addressed his condition while speaking with the crowd. He didn't offer specifics, but said that he "didn't feel great."