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US Open 2019: Rafael Nadal beats Daniil Medvedev to win 19th Grand Slam title

Rafael Nadal won his 19th Grand Slam title after holding off Russian Daniil Medvedev's exhilarating fightback in one of the greatest US Open finals.

Spain's Nadal, 33, won 7-5 6-3 5-7 4-6 6-4 against the fifth seed in New York.

Nadal, seeded second, was cruising at two sets and a break up, only for Medvedev to force a decider.

But Nadal stopped his momentum to eventually clinch a thrilling victory in four hours and 51 minutes.

Nadal's victory moves him within one of Swiss rival Roger Federer's all-time leading tally of Grand Slam victories.

"It has been one of the most emotional nights in my tennis career," Nadal said.