SELECT 
  1 
FROM 
  cscart_ec_print_temp_designs 
WHERE 
  session_id = 'Y0XM-OW0N-NU6N-TYD6-L2H7-5FD2-VGGW-EIKJ' 
  AND product_id = 68 
  AND expires_at > 1770980879 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00031

JSON explain

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