Could contrast-enhanced CT detect STEMI prior to electrocardiogram?

Male with Severe Hypertension and Dyspnea

“…The low attenuation found on imaging is thought to be due to myocardial edema and necrotic muscle, and has been found to be 83% sensitive and 95% specific for a myocardial infarction in certain settings (1,2). It is important to note that this finding is not unique to acute myocardial infarctions, as it is difficult to clearly distinguish acute ischemia and infarction from chronic infarcts (3).…”