[1] Australia's Stephanie Rice became the third swimmer in Olympic history to strike a medley double, since Michelle Smith did so in 1996 and Yana Klochkova in 2000 and 2004.
U.S. swimmer Natalie Coughlin, who held the lead on the backstroke leg, picked up a bronze medal in 2:10.34.
[4][5] Completing the second half of a difficult double, American Katie Hoff produced the same result from the 200 m freestyle, as she finished again in fourth place with a time of 2:10.68.
On the strength of the breaststroke leg, Kitagawa won a swimoff for the last slot in the top 8 final over Hungary's Evelyn Verrasztó.
[4] Earlier in the semifinals, Coventry established an Olympic standard of 2:09.53 to cut off Yana Klochkova's eight-year record by a 1.15-second deficit.