Third seed Johanna Konta needed medical help just 10 minutes into her return to action on her way to defeat to Marie Bouzkova at the Lexington Open in Kentucky.
Having held serve in the first game, the British world No.15 halted proceedings two points into the second.
Hunched over her racket, Konta appeared to be breathing heavily and her face was flushed, probably as a consequence of the extreme humidity as well as returning to competitive action after five months.
After having her blood pressure and pulse checked and consulting the doctor, Konta was able to return to the court.
‘My heart rate shoots up for no reason,’ Konta said. ‘I wasn’t gassing in any way in my lungs.’
‘It actually goes up and stays there so it makes me a bit lightheaded – I just needed to see the doctor and the physio.
‘It was very high when they came out. I was having all the checks. I am as fit as a fiddle but it can happen. It took a while to settle down but then it did and I was able to concentrate on the tennis.’
The 29-year-old has suffered similar issues in the past, notably at the 2016 US Open and at the Fed Cup last year. She recovered to win both matches.
This time she battled on to 3-3 before rising Czech star Bouzkova, 22, secured the first break of the match and took the opening set.
Konta, beaten by the same opponent in her last match before lockdown, secured a break early in the second.
But she immediately dropped serve and a second Bouzkova break
secured a 6-4 6-4 victory.
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