With $H = [0, 0]^T$, the equation of the tangents becomes
$ \left( r^T Q r - 1 \right) \left( A^T Q A - 1 \right) = \left(r^T Q A - 1\right)^2 $
where $ r= [x, y]^T $
Direct evaluation gives, term by term
$ r^T Q r = \dfrac{1}{72} ( 13 x^2 + 13 y^2 - 10 x y ) $
$ A^T Q A = \dfrac{2125}{72} $
$ r^T Q A = \dfrac{1}{72} ( -155 x + 115 y )$
Using these expressions and multiplying through by $(72)^2$, the equation becomes
$ ( 13 x^2 + 13 y^2 - 10 xy - 72) (2125 - 72) = (-155 x + 115 y -72)^2$
Evaluation of the above terms results in the following equation in simplest terms
$ 37 x^2 + 187 y^2 + 210 xy - 310 x + 230 y - 2125 = 0 $
Now this can be written as the following
$ r^T Q' r + r^T b' + c' = 0 $
with
$Q' = \begin{bmatrix} 37 && 105 \\ 105 && 187 \end{bmatrix} $
$b' = \begin{bmatrix} -310 && 230 \end{bmatrix} ^T$
$ c' = -2125 $
The center of this conic is at
$ r_0 = - \dfrac{1}{2} Q'^{-1} b' = [-10, 5]^T $
So we can write
$ (r - r_0)^T Q' (r - r_0) = 0 $
because $r_0^T Q' r_0 = c'$
Next we need to diagonalize $Q'$ into $R D' R^T $, then
$ (r - r_0)^T R D' R^T (r - r0) = 0 $
Define the vector $v = R^T (r - r_0) $, then
$ v^T D v = 0 $
which translates into $ D_{11} v_1^2 + D_{22} v_2^2 = 0 $
Analyzing matrix $Q'$ we find that its eigenvalues are
$ D_{11} = 112 - 15 \sqrt{74} $ and $D_{22} = 112 + 15 \sqrt{74} $
Note that $D_{11} \lt 0 , D_{22} \gt 0 $
Therefore, the solution to the quadratic equation in $v_1$ and $v_2 $ is
$ v_2 =\displaystyle \pm \sqrt{- \dfrac{ D_{11}}{D_{22}} } v_1 $
And finally, $ r = r_0 + R v $ gives the parametric equation of the two tangents.
A much better way to solve the problem is to take
a general line through point $A$ whose unit direction vector is $ d = [\cos \theta, \sin \theta ]^T $, then
$ r = A + t d $
If we intersect this line with the ellipse, we get
$ (A - H + t d)^T Q (A - H + t d ) = 1 $
Expanding this becomes
$ t^2 (d^T Q d) + 2 t d^T Q (A - H) + (A-H)^t Q (A - H) - 1 = 0 $
And we want to solve for $\theta $ that will result in a zero discriminant of this quadratic, i.e.
$ \left( d^T Q (A - H) \right)^2 - (d^T Q d) ( (A-H)^T Q (A - H) -1) = 0$
We have the following
$ d^T Q d = \dfrac{1}{72} ( 13 \cos^2 \theta + 13 \sin^2 \theta - 10 \cos \theta \sin \theta ) $
$ (A-H)^T Q (A-H) = \dfrac{2125}{72} $
$ d^T Q (A-H) = \dfrac{1}{72} ( -155 \cos \theta + 115 \sin \theta )$
Substituting these and multiplying through by $(72)^2$
results in
$ (-155 \cos \theta+ 115 \sin \theta )^2 - 2053 (13 \cos^2 \theta + 13 \sin^2 \theta - 10 \cos \theta \sin \theta ) = 0$
and this simplifies to
$ 37 \cos^2 \theta + 187 \sin^2 \theta + 210 \sin \theta \cos \theta = 0 $
Dividing by $ \cos^2 \theta$ we get
$ 187 \tan^2 \theta + 210 \tan \theta + 37 = 0 $
whose roots are
$ \tan \theta_1 = \dfrac{1}{187} \left(-105 - \sqrt{4106} \right) \approx -0.90416 $
$ \tan \theta_2 = \dfrac{1}{187} \left( -105 + \sqrt{4106} \right) \approx -0.21883 $
Now the two tangents are fully specified.
The second method is much much faster than the first one.