I've got an Antec 300 and the card only just fits in. There isn't a right lot else in the case though, an SSD and a 500GB hard drive, and the airflow feels good, of course it might not be.
I have an H50(?) sucking air in from the back for the CPU, and a 120MM extractor fan on the top.
Whats the fan set up like, is it just those 2 fans?
. Ok upon setting a custom profile based on that, my fan took off like a rocket, because the idling temp was 60oC. Now bear in mind that I'd literally just turned the monitors on (I know the gfx card is still working), but is it working as much with no picture?