SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = 'EE8O-4NJ9-NHYI-VNPK-PF6Q-T5BZ-9TL8-XFJC' 
  AND product_id = 133 
  AND expires_at > 1777396997 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00034

JSON explain

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