It all depends on the card. Most reference designs such as the one you pictured will blow the heat out towards the display ports. Some heat will radiate off of the PCB, but all of the convection currents will be pushing out by the card outputs, as with most reference blower designs.
On a side note, I'm starting to think there needs to be a subforum dedicated to answering Kinetic's questions
and you can moderate it!
yes I do have alot of questions. I'll attempt to contain myself, at least for today! lol.
Thank you for the answer as I had set up fans blowing cold air toward the display ports.