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Date: 20 August 2004
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Arkady Vyatchanin; Roman Sludnov; Evgeny Korotyshkin; Andrey Kapralov | RUS | 3:38.07 |
| 2 | Pavlo Illichov; Valeriy Dymo; Denys Sylantyev; Yuriy Yegoshin | UKR | 3:38.85 |
| 3 | Matt Welsh; Jim Piper; Adam Pine; Michael Klim | AUS | 3:39.14 |
| 4 | Riley Janes; Mike Brown; Michael Mintenko; Brent Hayden | CAN | 3:39.36 |
| 5 | Jani Sievinen; Jarno Pihlava; Jere Hard; Matti Rajakyla | FIN | 3:41.64 |
| 6 | Blaz Medvesek; Emil Tahirovic; Peter Mankoc; Jernej Godec | SLO | 3:44.17 |
| 7 | Paulo Machado; Eduardo Fischer; Kaio Almeida; Jader Souza | BRA | 3:44.41 |
| Disqualified | |||
| Emanuele Merisi; Paolo Bossini; Mattia Nalesso; Giacomo Vassanelli | ITA | ||
| Rank | Name | Nation | Time |
| 1 | Lenny Krayzelburg; Mark Gangloff; Michael Phelps; Neil Walker | USA | 3:35.10 |
| 2 | Steffen Driesen; Jens Kruppa; Helge Meeuw; Lars Conrad | GER | 3:36.65 |
| 3 | Gregor Tait; James Gibson; James Hickman; Matthew Kidd | GBR | 3:36.94 |
| 4 | Tomomi Morita; Kosuke Kitajima; Takashi Yamamoto; Yoshihiro Okumura | JPN | 3:37.04 |
| 5 | Laszlo Cseh; Richard Bodor; Zsolt Gaspar; Attila Zubor | HUN | 3:37.27 |
| 6 | Simon Dufour; Hugues Duboscq; Franck Esposito; Frederick Bousquet | FRA | 3:37.60 |
| 7 | Scott Talbot Cameron; Ben Labowitch; Corney Swanepoel; Cam Gibson | NZL | 3:42.74 |
| 8 | Gerhard Zandberg; Terence Parkin; Eugene Botes; Karl Otto Thaning | RSA | 3:43.94 |