| Final 16:10 | Team | time | L | | | 1. Andy Gonzalez | CUB | 1:45.58 | 8 | SB | | 2. Kleberson Davide | BRA | 1:45.75 | 3 | | | 3. Raidel Acea | CUB | 1:46.23 | 7 | | | 4. Tyler Dean Mulder | USA | 1:46.46 | 4 | | | 5. Mark Andrew Wieczorek | USA | 1:47.75 | 2 | | | 6. Lutimar Paes | BRA | 1:47.76 | 6 | | | 7. Jon Byron Rankin | CAY | 1:52.72 | 1 | | | 8. Moise Joseph | HAI | 1:54.88 | 1 | | | 9. Rafhit Rodriguez | COL | 1:58.27 | 5 | |
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| World Record: | | David Rudisha (KEN) 1:41.01 | | | Rieti (ITA) 29.08.2010 | | Panamerican Record: | | Yelmer Lopez (CUB) 1:44.58 | | Rio de Janeiro (BRA) 28.07.2007 |
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| Semi-Finals - Thursday 27.10 - First 3 and Best 2 progress. |
| Semi 1 16:45 | Team | time | L | Bib | Rk. | | 1. Andy Gonzalez | CUB | 1:48.21 | 7 | 534 | 1. | | 2. Mark Andrew Wieczorek | USA | 1:48.32 | 1 | 764 | 2. | | 3. Lutimar Paes | BRA | 1:48.37 | 2 | 464 | 3. | | 4. Rafhit Rodriguez | COL | 1:48.41 | 6 | 515 | 4. | | 5. Moise Joseph | HAI | 1:49.12 | 5 | 600 | 5. | | 6. Nico Herrera | VEN | 1:49.29 | 4 | 774 | 6. | | 7. Jose Juan Esparza | MEX | 1:50.65 | 8 | 650 | 11. | | 8. Jon Byron Rankin | CAY | 2:21.36 | 3 | 486 | |
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| Intermediate: | | 400m - Jose Juan Esparza (MEX) - 53.36s |
| Rankin (CAY) added to the Final. |
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| Semi 2 16:52 | Team | time | L | Bib | Rk. | | 1. Tyler Dean Mulder | USA | 1:49.65 | 7 | 748 | 7. | | 2. Kleberson Davide | BRA | 1:49.65 | 6 | 452 | 8. | | 3. Raidel Acea | CUB | 1:50.04 | 2 | 525 | 9. | | 4. Jamaal James | TRI | 1:50.14 | 1 | 712 | 10. | | 5. Jenner Manrique Pelico | GUA | 1:51.12 | 5 | 592 | 12. | | 6. Juan Sebastian Vega | ARG | 1:52.60 | 3 | 420 | 13. | | 7. Edgard Alejandro Cortez | NCA | 1:59.02 | 8 | 674 | 14. | | -. Eduar Villanueva | VEN | DNS | 4 | 783 | |
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| Intermediate: | | 400m - Kleberson Davide (BRA) - 54.83s |
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