| Final | Team | time | Rk. | | 1. Michael Phelps |  USA | 4:08.26 | 1. | | 2. Erik Vendt | USA | 4:11.81 | 6. | | 3. László Cseh, Jr. |  HUN | 4:12.15 | 2. | | 4. Alessio Boggiatto |  ITA | 4:12.28 | 3. | | 5. Oussama Mallouli |  TUN | 4:14.49 | 6. | | 6. Ioannis Kokkodis |  GRE | 4:18.60 | 5. | | 7. Jiro Miki |  JPN | 4:19.97 | 4. | | 8. Travis Nederpelt |  AUS | 4:20.08 | 8. |
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| Heat 5 | Team | time | Rk. | | 1. Michael Phelps | USA | 4:13.29 | 1. | | 2. Erik Vendt | USA | 4:16.68 | 6. | | 3. Travis Nederpelt | AUS | 4:16.77 | 8. | | 4. Justin Norris | AUS | 4:16.90 | 11. | | 5. Brian Johns |  CAN | 4:21.10 | 15. | | 6. Keith Beavers | CAN | 4:21.47 | 16. | | 7. Igor Berezutsky |  RUS | 4:23.20 | 21. | | 8. Aleksey Kovrigin | RUS | 4:23.77 | 24. |
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| Heat 4 | Team | time | Rk. | | 1. László Cseh, Jr. | HUN | 4:14.26 | 2. | | 2. Oussama Mallouli | TUN | 4:16.68 | 6. | | 3. Ioannis Drymonakos | GRE | 4:16.83 | 9. | | 4. Luca Marin | ITA | 4:16.85 | 10. | | 5. Robin Francis |  GBR | 4:18.34 | 12. | | 6. Adrian Turner | GBR | 4:23.53 | 23. | | 7. Dmytro Nazarenko |  UKR | 4:26.15 | 26. | | 8. Liu Weijia |  CHN | 4:27.02 | 28. |
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| Heat 3 | Team | time | Rk. | | 1. Alessio Boggiatto | ITA | 4:15.78 | 3. | | 2. Jiro Miki | JPN | 4:16.32 | 4. | | 3. Ioannis Kokkodis | GRE | 4:16.56 | 5. | | 4. Wu Peng | CHN | 4:19.32 | 14. | | 5. Thiago Pereira |  BRA | 4:22.06 | 17. | | 6. Susumu Tabuchi | JPN | 4:22.46 | 18. | | 7. Lucas Salatta | BRA | 4:23.01 | 19. | | 8. Marko Milenkovič |  SLO | 4:30.99 | 31. |
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| Heat 2 | Team | time | Rk. | | 1. Dean Kent |  NZL | 4:18.55 | 13. | | 2. Kim Bang-Hyeon |  KOR | 4:23.05 | 20. | | 3. Jeremy Knowles |  BAH | 4:23.29 | 22. | | 4. Bradley Ally |  BBS | 4:24.70 | 25. | | 5. Vytautas Janušaitis |  LTU | 4:26.30 | 27. | | 6. Yves Platel |  SUI | 4:28.94 | 29. | | 7. Guntars Deičmans |  LAT | 4:29.17 | 30. | | 8. Miguel Molina |  PHI | 4:33.25 | 34. |
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| Heat 1 | Team | time | Rk. | | 1. Saša Imprić |  CRO | 4:32.02 | 32. | | 2. Drew MacKay |  CAY | 4:32.38 | 33. | | 3. Lin Yu-An |  TPE | 4:41.86 | 35. | | 4. Nikita Polyakov |  UZB | 5:09.76 | 36. |
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