Adding some experience here with Windows 8, since questions of it were asked, and I've now used the card for quite some time under it.
--Problem still exists.
====================================================================
Power supply: Antec HCP-1000 Platinum (have also tried my old Antec TPQ and PC-Power and Cooling 1kw supply)
Motherboard: ASUS P8C WS
BIOS: 3306. Have also tried 3202 and 3108. Happens with all bioses, no impact on frequency or time of occurrence.
CPU: Intel E3 1270v2 (Ivy Bridge, Quad-Core)
Memory (exact model): KVR16E11/8 (4 modules, 32GB ECC DR3-1600)
Do you overclock? No
Graphics: EVGA Geforce 690 (card does not matter, happens with any .. including an AMD Radeon 7970)
Graphics driver: 320.18 (driver does not matter, happens with any)
Soundcard: ASUS Xonar STX, onboard sound disabled (at bios), videocard sound disabled
Sound driver: 8.0.8.1818 ... yet also happens with "all" drivers.
Other cards + drivers: No extra addon cards
Peripherals + drivers: Razer Imperator (mouse), Razer BlackWidow Ultimate (keyboard)
OS: Windows 8 64bit, all updates (as of 6/1/2013)
Playback software (when it happened): Can happen at any time. Happens randomly in games, on desktop, browsing the internet in Firefox, sometimes as early as the Windows startup sound on OS entry. Also -- No correlation to GPU clock frequency changes has been observed (I've logged this looking for answers).
Which audio port do you use? Both headphones and speakers, happens with either, at any time -- randomly.
Are you able to consistently reproduce the issue? No. Have found no correlation with when it happens, nor any means to reproduce it on command. Happens roughly 5-10 times a month since I've owned the card for over a year ago.
====================================================================
...