The difficulty is that all the 4:3 resolutions that I'd run it in I also use in a lot of other games, some of which depend on the higher frequencies to have less tearing without vsync. It'd be a real hassle to switch refresh rates between games.
However, this very moment I just noticed 1600x1200 in the latest WIP (I haven't been around here in a while

) which might work out for 60hz since the only games I run at that res (namely Quake3) I can force into 75hz. Hooray!
That would be a good feature request though: specifiable refresh rates; in the cfg perhaps.