SELECT 
  1 
FROM 
  cscart_ec_print_temp_designs 
WHERE 
  session_id = '8XC9-PN1W-ULQT-S6JT-LW1A-Z9IG-U6Z9-XU1B' 
  AND product_id = 282 
  AND expires_at > 1770539248 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00048

JSON explain

{
  "query_block": {
    "select_id": 1,
    "message": "no matching row in const table"
  }
}