Same problem with FEAR Combat as well, however let me throw these 2 tidbits of info into the mix.
1) This problem ONLY happens to me on certain maps, namely Factory and Waterworks. Other maps such as Construction, Docks, etc run incredibly smooth even after hours of play.
2) This problem started for me when I first went to Vista (32bit), and now I'm on 64bit and same problem, however I had an eVGA 7900GT at that time, and the severity of the issue was identical and the exact same symptoms on the same maps.
Because of these 2 things it leads me to believe the problem has nothing to do with any of the 8800 series cards in general, but rather something goofed up with FEAR and VU Games needs to release a patch, or the nVidia Forceware drivers in general in Vista needs to fix it.
Also I've been reading around and posting about this all over and have already tried all posted supposed "fixes" including disabling HID devices, disabling Logitech and Creative software, etc and nothing helps.