The aim of this study was to evaluate the role of HSP70, and markers of oxidative stress and endothelial dysfunction, as determinants of the severity of coronary atherosclerosis. The study revealed significant differences between patient groups with and without coronary atherosclerosis in terms of HSP70, superoxide dismutase, total homocysteine (tHcy) and markers of oxidative modification of proteins. Significant correlations between Gensini score, lipid profile parameters and studied markers were determined. The results of multiple linear regression analysis allow us to consider the levels of HSP70, tHcy, LDL-C and ketone derivative of 2.4-dinitrophenylhydrazine as factors associated with the risk of coronary atherosclerosis.