The Iranian team consisting of Shahnam Nazarpour and Mojtaba Valipour won the gold medal with 326.04 points.
Azeri pair Artem Danilov and Dmitriy Sorokin took silver with 265.11.
The bronze medal went to Hussein Al-Elayawi and Hussein Al-Maliki of Iraq with 215.64.
More than 3,000 athletes from 54 countries of the Islamic Solidarity Sports Federation are competing in 21 sports at the Games.
The Baku 2017 Islamic Solidarity Games started May 8 and will last until May 22 in Azerbaijan’s capital.