I was in Firelands farming trash then can out and everything was like this.
Spec:
i7 920 @2.67
4GB OCZ Ram
Evga 560TI 1GB (Driver 275.33)
Evga x58 classified mobo
750w Ultra X4 Power Supply
I've tried changing the video settings, run a repair and anything else i can think of without reinstalling WoW
The card runs 40-50C during game play idling at ~30C, I have the main side panel so air flow isn't a problem.