Livefyre had some sophisticated behavior as a result. Comments were always pushed live to other page viewers immediately while simultaneously sent to Impermium, then revoked (via live update) if either the first or second pass through Impermium resulted in a spam indication. Email notifications weren't released until the second pass indicated nonspam.
Not sure if Livefyre still uses Impermium today or what this buyout may mean for them, but I always thought the concept was pretty cool.