There are plenty of examples in Windows of applications triggering code at fairly high and stable framerates without spiking the CPU.
WPF/Silverlight/WinRT applications can do this, for example. So can browsers and media players. How exactly do they do this, and what API calls would I make to achieve the same effect from a Win32 application?
Clock polling doesn’t work, of course, because that spikes the CPU. Neither does Sleep(), because you only get around 50ms granularity at best.
They are using multimedia timers. You can find information on MSDN here
Only the view is invalidated (f.e. with InvalidateRect)on each multimedia timer event. Drawing happens in the
WM_PAINT/OnPainthandler.