I found a good setting for NVIDIA and EXTREME Preset finally!!!
take my preset I've posted earlier with the FXAA optimisation.
alter these settings:
Antialising mode: override applicaton settings
Antialiasing settings: 8X CSAA
antialiasing transparency: 8x Supersample
V-Sync: adaptive (half refresh rate)
apply settings
results: stable 30 fps on 670 GTX nearly all the time no fps scooter anymore
max the game all out disable vsync in the game
disable antialiasing in the game
apply settings
edit: nice poll performance poll
here