The pro-Russian leader, 59, was reported to be fighting for his life after being hit in the stomach.
At least four shots were fired outside a cultural centre in the town of Handlova, nearly 85 miles north east of the capital, where Mr Fico was meeting with supporters, the government said.
A suspect was in custody, the country's president said in a televised statement. Mr Fico was taken by helicopter to a hospital.
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